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Individual

WILLIAM SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
2650 E SHOW LOW LAKE RD STE 1, SHOW LOW, AZ 85901-7955
(928) 537-4300
(928) 532-6901
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9400
(928) 774-4808

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
15131
AZ
106H00000X
Marriage & Family Therapist
98
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7706655Y0NH01
BHN
NH
Enumeration date
02/07/2007
Last updated
04/22/2021
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