Individual
MARISTELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,PHD
Contact information
Practice address
3800 N YORK ST, DENVER, CO 80205-3540
(720) 833-5015
(866) 335-7875
Mailing address
3800 N YORK ST, DENVER, CO 80205-3540
(720) 833-5015
(866) 335-7875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
09925920
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09925920
COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO
CO
Enumeration date
04/25/2019
Last updated
04/25/2019
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