Individual
PHILLIP SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, RASAC II
Contact information
Practice address
2900 TRACY AVE, KANSAS CITY, MO 64109-1529
(816) 753-4011
Mailing address
2900 TRACY AVE, KANSAS CITY, MO 64109-1529
(816) 753-4011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009038191
MO
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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