Individual
CHRYSTALA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ADAMS ST, JEFFERSON CITY, MO 65101-3058
(573) 556-6589
(573) 556-6294
Mailing address
118 N 2ND ST, SAINT CHARLES, MO 63301-2832
(636) 224-1210
(636) 946-0991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017042232
MO
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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