Individual provider · Type 1 NPI

Judith Smith

Mental Health Counselor · Manchester, CT

NPI number 1063755767 Active

Practice location

587 Middle Tpke E
Manchester, CT 06040-3731

Fax (860) 645-4132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063755767

Judith Smith's National Provider Identifier is 1063755767, issued on Apr 1, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, CT. The record was last updated on Apr 1, 2013.