Individual
DOMINIC SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2627 REDWING RD STE 235, FORT COLLINS, CO 80526-6352
(970) 658-7121
(720) 649-4951
Mailing address
2627 REDWING RD STE 235, FORT COLLINS, CO 80526-6352
(970) 658-7121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0014731
CO
Other
Enumeration date
08/16/2018
Last updated
09/20/2023
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