Individual provider · Type 1 NPI

Samantha Jade Smith

Professional Counselor · Monroe, LA

NPI number 1104306034 Active

Practice location

801 N 31st St Ste 1
Monroe, LA 71201-3959

Call (318) 737-7794 Map

Mailing address

895 Clear Branch Rd
Farmerville, LA 71241-5043

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1104306034

Samantha Jade Smith's National Provider Identifier is 1104306034, issued on Aug 20, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Monroe, LA. The record was last updated on Sep 28, 2018.