Individual
VICKY KATE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 E STATE HIGHWAY CC, STE. A-105, NIXA, MO 65714-7337
(417) 725-8810
(417) 725-6206
Mailing address
380 E STATE HIGHWAY CC, STE. A-105, NIXA, MO 65714-7337
(417) 725-8810
(417) 725-6206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2007021192
MO
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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