Individual
MRS. KIRSTEN COLLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.C.
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0600128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.0600128
OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPIST BOARD
OH
Enumeration date
12/01/2009
Last updated
12/01/2009
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