Individual provider · Type 1 NPI

Constance Sally Smith, LADC, LPCC

Professional Counselor · Eagan, MN

NPI number 1063703221 Active

Practice location

1230 Eagan Industrial Rd, Suite 100
Eagan, MN 55121-1264

Call (612) 454-2243 Map

Fax (651) 454-2972

Mailing address

5515 45th Ave S
Minneapolis, MN 55417-2336

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X302730 (MN)

Professional Counselor: Definition to come...

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About NPI 1063703221

Constance Sally Smith, LADC, LPCC's National Provider Identifier is 1063703221, issued on Apr 22, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eagan, MN. The record was last updated on May 27, 2026.