Individual
KIMBERLY JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
406 W KOENIG ST, GRAND ISLAND, NE 68801-6516
(308) 382-0422
(308) 382-6195
Mailing address
406 W KOENIG ST, GRAND ISLAND, NE 68801-6516
(308) 382-0422
(308) 382-6195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1327
NE
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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