Individual
NICOLE SMITHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 S LAKESHORE DR STE 106, TEMPE, AZ 85282-7156
(480) 525-0058
Mailing address
6516 E HOBART ST, MESA, AZ 85205-4627
(480) 818-8791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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