Individual
RITA J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCMHT
Contact information
Practice address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 335-5274
(662) 378-3976
Mailing address
1654 E UNION ST, GREENVILLE, MS 38701
(662) 335-5274
(662) 378-3976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2539
MS
101YM0800X
Mental Health Counselor
Primary
2539
MS
101YS0200X
School Counselor
2539
MS
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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