Individual
CAMILLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
309 JERRY ST, CASTLE ROCK, CO 80104-2489
(970) 393-2360
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2012-024
KY
106H00000X
Marriage & Family Therapist
Primary
MFT.0001430
CO
Other
Enumeration date
10/02/2012
Last updated
06/29/2020
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