Individual
JANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6919 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2205
(219) 844-4883
(219) 844-4885
Mailing address
6919 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002587A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200980410
—
IN
Enumeration date
09/08/2014
Last updated
09/08/2014
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