Individual
TIERRA GISCELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
731 N MCLEAN BLVD, WICHITA, KS 67203-4986
(316) 751-8554
Mailing address
8918 W 21ST ST N, STE 200, #197, WICHITA, KS 67205
(316) 751-8554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC04480
KS
Other
Enumeration date
08/30/2023
Last updated
09/07/2023
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