Individual
JULIA M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMFT
Contact information
Practice address
619 RIVER ST STE F, BELLEVILLE, WI 53508-9117
(608) 424-9100
Mailing address
5796 COUNTY ROAD A, OREGON, WI 53575-2669
(608) 445-2049
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
733-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43701500
—
WI
01
—
733-124
MFT LICENSE
WI
Enumeration date
03/19/2007
Last updated
07/09/2024
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