Individual
LISA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 MAID MARION DR S, SCHERERVILLE, IN 46375-1800
(219) 742-7497
Mailing address
2040 MAID MARION DR S, SCHERERVILLE, IN 46375-1800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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