Individual
REBECCA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3415 SAINT PAUL AVE, MINNEAPOLIS, MN 55416-4342
(612) 284-3554
Mailing address
3415 SAINT PAUL AVE, MINNEAPOLIS, MN 55416-4342
(612) 284-3554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2520
MN
Other
Enumeration date
01/03/2019
Last updated
06/16/2020
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