Individual
JULIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1784 LACROSSE AVE, SAINT PAUL, MN 55119
(651) 645-9424
Mailing address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00791
MN
Other
Enumeration date
06/16/2014
Last updated
08/09/2019
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