Individual
KIMBERLY JOY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
618 N NEW BALLAS RD APT 408, CREVE COEUR, MO 63141-6767
(314) 661-1313
Mailing address
618 N NEW BALLAS RD APT 408, CREVE COEUR, MO 63141-6767
(314) 661-1313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013035384
MO
Other
Enumeration date
10/10/2013
Last updated
12/17/2021
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