Individual
MELISSA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC-MH
Contact information
Practice address
550 N 5TH ST STE 317, RAPID CITY, SD 57701-1375
(605) 519-5398
Mailing address
550 N 5TH ST STE 317, RAPID CITY, SD 57701-1375
(605) 519-5398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
100418
IA
101YM0800X
Mental Health Counselor
Primary
LPC-MH30918
SD
101YM0800X
Mental Health Counselor
LPC20913
SD
Other
Enumeration date
09/09/2020
Last updated
10/30/2024
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