Individual
MS. LYTRENDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LCDC
Contact information
Practice address
1510 S VINE AVE, TYLER, TX 75701-2826
(409) 351-0285
Mailing address
4901 KINSEY DR APT 2321, TYLER, TX 75703-3040
(409) 351-0285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15734
TX
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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