Individual
TERESA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADA COUNSLER TRANIEE
Contact information
Practice address
925 STATE HWY VV, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Mailing address
925 STATE HWY VV, PO BOX 71, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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