Individual
CHRISTY LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCS, BHP
Contact information
Practice address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(907) 474-0890
Mailing address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(907) 474-0890
(907) 474-3621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10670
NC
101YM0800X
Mental Health Counselor
LPC 1226
WY
101YP2500X
Professional Counselor
113125
AK
172V00000X
Community Health Worker
Primary
113125
AK
Other
Enumeration date
07/25/2011
Last updated
07/07/2021
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