Individual
ODETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
174 KAIULANI ST, HILO, HI 96720-2532
(808) 557-1719
Mailing address
174 KAIULANI ST, HILO, HI 96720-2532
(808) 557-1719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
280
HI
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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