Individual
MICHAEL LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
700 LONGMONT ST, GILLETTE, WY 82716-2927
(307) 686-2530
Mailing address
700 LONGMONT ST, GILLETTE, WY 82716-2927
(307) 686-2530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1052
WY
Other
Enumeration date
08/17/2007
Last updated
04/22/2011
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