Individual
KIMBERLY K. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E BROADWAY, STEPHENS COLLEGE, STAMPER COMMONS, COLUMBIA, MO 65215-0001
(573) 876-7157
Mailing address
1200 E BROADWAY, STEPHENS COLLEGE, STAMPER COMMONS, COLUMBIA, MO 65215-0001
(573) 876-7157
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW003197
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW003197
MO
101YM0800X
Mental Health Counselor
SW003197
MO
101YP2500X
Professional Counselor
Primary
SW003197
MO
101YS0200X
School Counselor
SW003197
MO
1041C0700X
Clinical Social Worker
SW003197
MO
1041S0200X
School Social Worker
SW003197
MO
106H00000X
Marriage & Family Therapist
SW003197
MO
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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