Individual
MS. COLETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2059 MARINER DR APT 4, BATON ROUGE, LA 70820-8528
(985) 215-5396
Mailing address
2059 MARINER DR APT 4, BATON ROUGE, LA 70820-8528
(985) 215-5396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
01/14/2019
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