Individual
MRS. ANASTASIA SMITH-MCEWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1409 SPRINGDALE DR, JACKSON, MS 39211-3228
(601) 259-2403
Mailing address
1409 SPRINGDALE DR, JACKSON, MS 39211-3228
(601) 259-2403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1752
MS
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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