Individual provider · Type 1 NPI

Samantha Jane Smith, LPC

Professional Counselor · St. Louis, MO

NPI number 1124613005 Active

Practice location

11166 Tesson Ferry Rd Ste 300
St. Louis, MO 63123-6966

Call (314) 802-2658 Map

Fax (314) 842-2552

Mailing address

2650 Olive St
St. Louis, MO 63103-1489

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1124613005

Samantha Jane Smith, LPC's National Provider Identifier is 1124613005, issued on Mar 3, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Apr 14, 2023.