Individual
JAMES R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LISW
Contact information
Practice address
2871 HEINZ RD, STE 'B', IOWA CITY, IA 52240-8196
(319) 936-6248
(319) 351-0070
Mailing address
2871 HEINZ RD, STE 'B', IOWA CITY, IA 52240-8196
(319) 936-6248
(319) 351-0070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
02512
IA
101YM0800X
Mental Health Counselor
Primary
02512
IA
101YP2500X
Professional Counselor
02512
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912043415
—
IA
05
—
1962555003
—
IA
Enumeration date
01/30/2007
Last updated
06/06/2013
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