Individual provider · Type 1 NPI
Crystal M. Smith, LADC UNDER SUPERVISI
Mental Health Counselor · Ada, OK
NPI number
1457554388
Active
Practice location
520 E Main St
Ada, OK 74820-5610
Mailing address
9483 County Road 1540
Ada, OK 74820-3316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1457554388
Crystal M. Smith, LADC UNDER SUPERVISI's National Provider Identifier is 1457554388, issued on Jun 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ada, OK. The record was last updated on Jul 8, 2007.