Individual
CODY MARSHALL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2626 CHARLES DR, CHALMETTE, LA 70043-3779
(504) 352-3508
Mailing address
8519 SYCAMORE PL APT A, NEW ORLEANS, LA 70118-1575
(504) 352-3508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI 5697
LA
Other
Enumeration date
11/02/2013
Last updated
11/12/2013
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