Individual
CHRISTINE ANNETTE SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
127 GARY ST, GULFPORT, MS 39503-3503
(228) 328-1202
(228) 328-2522
Mailing address
10723 LILINOE WAY, DIAMONDHEAD, MS 39525-4336
(228) 255-3719
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0582
MS
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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