Individual
MS. NICKY K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LMHC
Contact information
Practice address
225 NORTH 4TH STREET, SUITE A, LAFAYETTE, IN 47901-1312
(765) 429-5352
Mailing address
225 N 4TH ST STE A, LAFAYETTE, IN 47901-1312
(765) 429-5352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000365A
IN
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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