Individual
JAMIE LUCRETIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2621
(270) 769-1304
Mailing address
169 HOBBS REESOR RD, VINE GROVE, KY 40175-7301
(270) 945-5082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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