Individual
ETHAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
7520 PERKINS RD STE 180B, BATON ROUGE, LA 70808-9111
(225) 307-0166
Mailing address
7520 PERKINS RD STE 180B, BATON ROUGE, LA 70808-9111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC9975
LA
101YM0800X
Mental Health Counselor
Primary
PLPC9975
LA
Other
Enumeration date
04/17/2024
Last updated
02/19/2026
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