Individual
LAURA MARIA SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
9201 N 5TH STREET, PHOENIX, AZ 85020-2532
(602) 331-5817
Mailing address
9201 N 5TH STREET, PHOENIX, AZ 85020-2532
(602) 331-5817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-15025
AZ
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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