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Individual

MS. KATINA N SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, MBA, LMHC

Contact information

Practice address
5170 E 65TH ST STE 107, INDIANAPOLIS, IN 46220-4992
(317) 845-8475
(317) 845-8476
Mailing address
PO BOX 34152, INDIANAPOLIS, IN 46234-0152
(317) 702-4600
(317) 845-8476

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39004078A
IN
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/16/2007
Last updated
06/06/2024
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