Individual
REUBEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(175) 974-4572
Mailing address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(175) 974-4572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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