Individual
KATIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
Mailing address
PO BOX 260, INDEPENDENCE, MO 64051-0260
(816) 254-3652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018040830
MO
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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