Individual
MRS. KIMBERLEY S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
502 N CARVER ST, MIDLAND, TX 79701-3634
(432) 570-3390
(432) 570-3375
Mailing address
516 N LOOP 250 W, APT 1122, MIDLAND, TX 79703-5227
(432) 413-6228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11700
TX
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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