Organization
DOMINIC SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC SMITH LPC,RPT (OWNER)
(970) 658-7121
Entity
Organization
Contact information
Practice address
2627 REDWING RD STE 235, FORT COLLINS, CO 80526-6352
(970) 658-7121
Mailing address
2627 REDWING RD STE 235, FORT COLLINS, CO 80526-6352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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