Individual
MS. MELISSA J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6597
(505) 265-7074
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6597
(505) 265-7074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0152111
NM
1041C0700X
Clinical Social Worker
Primary
C-10954
NM
Other
Enumeration date
02/07/2012
Last updated
02/10/2020
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