Individual
MR. JAMES KIMBALL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2899 BRANCH DR, HOLLADAY, UT 84117-5501
(801) 635-9746
Mailing address
2899 BRANCH DR, HOLLADAY, UT 84117-5501
(801) 635-9746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
372809-3501
UT
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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