Individual
CECILY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
(612) 871-1505
Mailing address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01569
MN
Other
Enumeration date
07/17/2017
Last updated
03/24/2022
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