Individual provider · Type 1 NPI

Loretta Smallwood, L.M.T

Mental Health Counselor · Manchester, KY

NPI number 1053669796 Active

Practice location

411 Richmond Rd
Manchester, KY 40962-1212

Call (606) 391-3584 Map

Mailing address

313 Town Branch Rd
Manchester, KY 40962-1326

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X0683 (KY)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1053669796

Loretta Smallwood, L.M.T's National Provider Identifier is 1053669796, issued on Aug 28, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, KY. The record was last updated on Jul 10, 2023.