Individual
MICHELLE R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
208 S BURLINGTON AVE, HASTINGS, NE 68901-5904
(402) 705-2364
Mailing address
1019 N SAUNDERS AVE, HASTINGS, NE 68901-3813
(402) 460-8670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1201
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264589-00
—
NE
Enumeration date
06/05/2015
Last updated
06/05/2015
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