Individual
MRS. ANITA LINNEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
515 N RIVERFRONT DR, SUITE 220, MANKATO, MN 56001-3471
(800) 438-1772
(262) 345-5531
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(262) 345-5560
(262) 345-5531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
515
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515
LICENSE
MN
Enumeration date
11/30/2011
Last updated
10/09/2012
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