Individual
JIMMARIE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1707 E CEDAR ST STE 106, OLATHE, KS 66062-1886
(913) 214-2022
Mailing address
1707 E CEDAR ST STE 106, OLATHE, KS 66062-1886
(913) 214-2022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2018009415
MO
101YP2500X
Professional Counselor
Primary
3190
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B201197870
—
KS
Enumeration date
07/06/2017
Last updated
07/14/2020
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