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Individual

ANGIE J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.D, LPC-S

Contact information

Practice address
12505 MEMORIAL DR STE 230, HOUSTON, TX 77024-6051
(844) 824-8775
Mailing address
12505 MEMORIAL DR STE 230, HOUSTON, TX 77024-6051

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
62314
TX
101YP2500X
Professional Counselor
Primary
62314
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184020901
TX
Enumeration date
05/18/2007
Last updated
11/11/2024
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