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Individual

MINA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
120 BRETT CHASE STE D, PADUCAH, KY 42003-5766
(270) 251-3666
(270) 251-3506
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 251-3666
(270) 251-3506

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1782
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82000621
KY
Enumeration date
06/16/2006
Last updated
03/06/2026
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