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Individual

JESSICA LEIGH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC-MHSP

Contact information

Practice address
129 KEENELAND CIR, GREENEVILLE, TN 37743-5592
(423) 620-0604
Mailing address
129 KEENELAND CIR, GREENEVILLE, TN 37743-5592

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6361
TN
101YP2500X
Professional Counselor
6361
TN

Other

Enumeration date
01/12/2023
Last updated
02/24/2023
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