Individual provider · Type 1 NPI
Stephanie Rae Smith, CLC
Counselor · West Bend, WI
NPI number
1487160644
Active
Practice location
5126 Martha Dr
West Bend, WI 53095-8794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | ALPP-42079 (WI) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1487160644
Stephanie Rae Smith, CLC's National Provider Identifier is 1487160644, issued on Dec 22, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in West Bend, WI. The record was last updated on Jun 11, 2019.