Individual
IESHA MICHELE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
214 S WHITCOMB ST, FORT COLLINS, CO 80521-2642
(970) 494-4200
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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