Individual provider · Type 1 NPI

Shawanda Smith

Mental Health Counselor · Bastrop, LA

NPI number 1124523378 Active

Practice location

644 E Jefferson Ave
Bastrop, LA 71220-4619

Fax (318) 239-3867

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124523378

Shawanda Smith's National Provider Identifier is 1124523378, issued on Mar 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bastrop, LA. The record was last updated on Mar 29, 2018.