Individual
JANICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1746 GRISSO DR, SEMINOLE, OK 74868-2617
(918) 623-2922
Mailing address
1746 GRISSO DRIVE, SEMINOLE, OK 74868
(918) 623-2922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NONE
—
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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