Individual
JAMES THOMAS SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4343 N 52ND ST, OMAHA, NE 68104-2895
(402) 457-7195
Mailing address
4343 N 52ND ST, OMAHA, NE 68104-2895
(402) 457-7195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11947
NE
1041C0700X
Clinical Social Worker
7389
NE
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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