Individual
MRS. TERRELL SPILLER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LISAC
Contact information
Practice address
11000 N SCOTTSDALE RD, #150, SCOTTSDALE, AZ 85254-6130
(480) 239-4330
Mailing address
11000 N SCOTTSDALE RD, #150, SCOTTSDALE, AZ 85254-6130
(480) 239-4330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-12235 LISAC-1330
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-1330
AZ
101YP2500X
Professional Counselor
Primary
LPC-12235
AZ
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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