Individual
MRS. REBECCA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMHSP
Contact information
Practice address
3320 BROTHER BLVD, MEMPHIS, TN 38133-8950
(901) 251-5000
(901) 251-5001
Mailing address
3692 TRACY RD, ATOKA, TN 38004-7250
(901) 251-4835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000001865
TN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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