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Individual

ANTHONY P SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
846 E 10TH AVE, BOWLING GREEN, KY 42101-2363
(574) 344-3101
(270) 843-5383
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-1550

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
39002284A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30604011
KY
Enumeration date
04/18/2007
Last updated
12/09/2022
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