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Individual

MRS. GINA MARIA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIMHP, CPC

Contact information

Practice address
2811 30TH AVE, KEARNEY, NE 68845-4036
(308) 237-6865
(308) 236-7698
Mailing address
2811 30TH AVE, KEARNEY, NE 68845-4036
(308) 237-6865
(308) 237-3378

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2784
NE
101YM0800X
Mental Health Counselor
Primary
423
NE
101YP2500X
Professional Counselor
1467
NE

Other

Enumeration date
04/01/2008
Last updated
07/09/2024
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