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Individual

MR. KENNETH EUGENE SMITH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, MAC

Contact information

Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357
(931) 815-3871
(931) 815-3876
Mailing address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
(931) 815-3876

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
LPC0000003229
TN

Other

Enumeration date
02/19/2008
Last updated
06/28/2018
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