Individual
MARY ELLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,NCC,LPC-MH
Contact information
Practice address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 322-4079
(605) 322-4060
Mailing address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 322-4079
(605) 322-4060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH 2148
SD
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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