Individual
KRISTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3810 LAMAR AVE, CHATTANOOGA, TN 37415-4006
(423) 240-6633
Mailing address
3810 LAMAR AVE, CHATTANOOGA, TN 37415-4006
(423) 240-6633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017979
—
TN
Enumeration date
02/22/2016
Last updated
02/22/2016
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