Individual
KIMMIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
817 ZIMOVIA HWY, APT 2, WRANGELL, AK 99929
(907) 305-0985
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
(907) 874-2373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
147993
AK
Other
Enumeration date
03/07/2011
Last updated
10/20/2022
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