Individual provider · Type 1 NPI

Jessica Smith

Professional Counselor · Canon City, CO

NPI number 1255733473 Active

Practice location

3225 Independence Rd
Canon City, CO 81212-9380

Fax (719) 269-9373

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACD.0001037 (CO)
Professional Counselor Primary 101YP2500XLPC.0012585 (CO)

Professional Counselor: Definition to come...

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About NPI 1255733473

Jessica Smith's National Provider Identifier is 1255733473, issued on Sep 18, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Canon City, CO. The record was last updated on Dec 18, 2019.