Individual
KELSEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
(937) 734-4343
Mailing address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
(937) 734-4343
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
C.1700782
OH
101YP2500X
Professional Counselor
Primary
E.2102175
OH
Other
Enumeration date
09/18/2017
Last updated
06/30/2021
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