Individual
CECILIA YVONNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 RANDOLPH ST, LONE STAR, TX 75668-0166
(903) 380-8477
Mailing address
PO BOX 762, LONE STAR, TX 75668-0762
(903) 380-8477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11279
TX
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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