Individual
AMBER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
45 AIDAN RD, EAGLE, CO 81631-5057
(979) 878-8828
Mailing address
PO BOX 4373, EAGLE, CO 81631-4373
(970) 878-8828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0012899
CO
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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