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Individual

MRS. RHONDA SHAW SMILLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
121 N LUCIA AVE, REDONDO BEACH, CA 90277-3219
(662) 801-4947
(662) 236-3071
Mailing address
121 N LUCIA AVE, REDONDO BEACH, CA 90277-3219
(662) 801-4947
(662) 236-3071

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0747
MS
101YP2500X
Professional Counselor
Primary
4170
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1203
LPC/ MENTAL HEALTH
MS
Enumeration date
12/28/2007
Last updated
09/20/2023
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