Individual
MRS. KOURTNEY GILES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, NBCC
Contact information
Practice address
136 ROSE GARDEN ST, RUSTON, LA 71270-1462
(318) 265-4077
Mailing address
136 ROSE GARDEN ST, RUSTON, LA 71270-1462
(318) 265-4077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4917
LA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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