Individual
BREONA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4420 S 32ND ST, PHOENIX, AZ 85040-2804
(602) 268-8748
Mailing address
19426 N 36TH WAY, PHOENIX, AZ 85050-3907
(602) 570-1733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-17488
AZ
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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