Individual
CRYSTAL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 636-6002
(318) 716-1234
Mailing address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 636-6002
(318) 716-1234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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