Individual
ALYSSA JOY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6612 NW 42ND ST, BETHANY, OK 73008-2764
(405) 717-6200
Mailing address
4211 N REDMOND AVE APT 1, BETHANY, OK 73008-2809
(918) 260-2024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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