Individual
SUSAN KYLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LCADC
Contact information
Practice address
2211 MAYFAIR DR STE 409, OWENSBORO, KY 42301-4570
(270) 417-7980
(270) 417-7989
Mailing address
2816 VEACH RD STE 208, OWENSBORO, KY 42303-6299
(270) 228-0340
(270) 228-0341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171012
KY
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
246343
KY
Other
Enumeration date
06/14/2013
Last updated
10/08/2024
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