Individual provider · Type 1 NPI

Alyssa Joy Smith

Professional Counselor · Bethany, OK

NPI number 1366040149 Active

Practice location

6612 NW 42nd St
Bethany, OK 73008-2764

Mailing address

4211 N Redmond Ave Apt 1
Bethany, OK 73008-2809

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1366040149

Alyssa Joy Smith's National Provider Identifier is 1366040149, issued on Oct 13, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bethany, OK. The record was last updated on Oct 13, 2020.