Individual provider · Type 1 NPI

Caitlin Smock

Mental Health Counselor · New Brighton, MN

NPI number 1265944359 Active

Practice location

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1265944359

Caitlin Smock's National Provider Identifier is 1265944359, issued on Oct 29, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Brighton, MN. The record was last updated on Oct 29, 2017.