Individual
MRS. JA'LEESA T GILES SMITHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCMHC, LPC CANDIDATE
Contact information
Practice address
620 NW 5TH ST STE D, MOORE, OK 73160-3947
(405) 208-4469
Mailing address
2501 PENDLETON DR APT 1814, NORMAN, OK 73072-3469
(682) 208-5002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCCANDIDATE12557
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/02/2022
Last updated
01/30/2025
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