Individual
MASHONDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
818 S WASHINGTON ST, MOSCOW, ID 83843-3049
(208) 882-8514
Mailing address
1200 NE HILLSIDE DR, APT 6, PULLMAN, WA 99163-4358
(202) 506-9764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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