Organization
BURRY AND SMITH COUNSELING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MARIE SMITH M. S.,LCSW,LMFC (PRESIDENT)
(260) 436-5986
Entity
Organization
Contact information
Practice address
3266 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 436-5986
(260) 436-5986
Mailing address
3266 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 436-5986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34002738A
IN
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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