Individual
MS. STACEY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7371 W CHARLESTON BLVD, SUITE 110, LAS VEGAS, NV 89117-1575
(702) 758-3331
Mailing address
7371 W CHARLESTON BLVD, SUITE 110, LAS VEGAS, NV 89117-1575
(702) 758-3331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01559
NV
106H00000X
Marriage & Family Therapist
Primary
01287
NV
Other
Enumeration date
05/16/2013
Last updated
06/10/2016
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