Individual
JASON MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT-ASSOCIATE
Contact information
Practice address
3700 RIVER WALK DR STE 275, FLOWER MOUND, TX 75028-1860
(972) 841-1731
Mailing address
432 RED RIVER TRL APT 1102, IRVING, TX 75063-6384
(817) 360-6594
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204963
TX
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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