Individual
ADDIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
410 S FARMERVILLE ST, RUSTON, LA 71270-4655
(318) 255-5963
(318) 251-1947
Mailing address
410 S FARMERVILLE ST, RUSTON, LA 71270-4655
(318) 255-5963
(318) 251-1947
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4609
LA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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