Individual
MRS. KANDY M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3751 PENNRIDGE DR STE 119, BRIDGETON, MO 63044-1244
(341) 739-4515
(314) 558-1839
Mailing address
3751 PENNRIDGE DR STE 119, BRIDGETON, MO 63044-1244
(314) 739-4515
(314) 558-1839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008026799
MO
Other
Enumeration date
01/31/2008
Last updated
09/15/2020
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