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Individual

IAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
300 BEARDSLEY LN, AUSTIN, TX 78746-4945
(512) 537-5647
Mailing address
2102 COCHISE TRL, AUSTIN, TX 78733-1611
(512) 537-5647

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
70502
TX

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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