Individual
MISTI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2113 ADAMS GRV, SUITE 110, COLUMBIA, SC 29203-6951
(803) 256-1737
(803) 256-0195
Mailing address
2113 ADAMS GRV, SUITE 110, COLUMBIA, SC 29203-6951
(803) 256-1737
(803) 256-0195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5790
SC
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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