Individual
MRS. JEANNE CATHERINE KENNING SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
15 EDGEWATER DR, LITTLE FALLS, MN 56345-3430
(507) 230-1717
Mailing address
15 EDGEWATER DR, LITTLE FALLS, MN 56345-3430
(507) 230-1717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302231
MN
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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