Individual
KELLI JAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
600 CENTRAL AVE STE 201, GREAT FALLS, MT 59401-3141
(406) 952-3772
Mailing address
600 CENTRAL AVE STE 201, GREAT FALLS, MT 59401-3141
(406) 952-3772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-38715
MT
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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