Individual
MS. HEATHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
1420 NEAL ST STE 202, COOKEVILLE, TN 38501-4332
(931) 525-6916
(931) 525-6970
Mailing address
2441 S GRUNDY QUARLES HWY, GAINESBORO, TN 38562-5917
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000002036
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC0000002036
LPC-MHSP
TN
Enumeration date
02/13/2007
Last updated
07/08/2007
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