Individual
EMMALEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 COWART ST, JENA, LA 71342-7060
(318) 992-2263
(318) 992-2267
Mailing address
842 WEST BRADFORD STREET SUITE D, JENA, LA 71342
(318) 992-2263
(318) 992-2267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912281031
COUNSELOR-MENTAL HEALTH
LA
05
—
1912281031
—
LA
Enumeration date
07/03/2017
Last updated
08/24/2017
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