Individual
JACQUELINE RENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
230 NORTHLAND BLVD, SUITE 120B, CINCINNATI, OH 45246-3675
(513) 703-4975
Mailing address
230 NORTHLAND BLVD, SUITE 120B, CINCINNATI, OH 45246-3675
(513) 703-4975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0006729
OH
101YM0800X
Mental Health Counselor
KY-0568
KY
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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