Individual
PATRICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, CPC
Contact information
Practice address
419 S 11TH AVE, BROKEN BOW, NE 68822-1907
(308) 872-6651
Mailing address
42862 CALLAWAY RIVER RD, CALLAWAY, NE 68825-5102
(308) 836-2645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
241
NE
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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