Individual
ALYSIA MARY KATHREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4404 WIS-70, WEBSTER, WI 54893
(715) 349-8554
Mailing address
N11499 MCCLAIN LAKE RD, TREGO, WI 54888-9142
(715) 416-1451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4292
WI
101YM0800X
Mental Health Counselor
Primary
8090-125
WI
Other
Enumeration date
07/10/2019
Last updated
02/26/2026
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