Individual
JAMES MARION SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
936 SARDONYX DR, JEFFERSON CITY, MO 65109-6852
(573) 230-1011
Mailing address
936 SARDONYX DR, JEFFERSON CITY, MO 65109-6852
(573) 230-1011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010007557
MO
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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