Individual
KIMBERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1550 HIGHWAY 15 S STE 200, JACKSON, KY 41339-0714
(606) 666-5696
(606) 666-8414
Mailing address
1550 HIGHWAY 15 S STE 200, JACKSON, KY 41339-0714
(606) 666-5696
(606) 666-8414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
260604
KY
Other
Enumeration date
04/20/2015
Last updated
12/26/2019
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