Individual provider · Type 1 NPI
Mavis Smith
Mental Health Counselor · Crownpoint, NM
NPI number
1649044710
Active
Practice location
Rt 9 Hwy 371 Suite 2
Crownpoint, NM 87313
Mailing address
P.o. Box 1501
Gallup, NM 87305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CCMH02077711 (NM) |
Mental Health Counselor: Definition to come...
About NPI 1649044710
Mavis Smith's National Provider Identifier is 1649044710, issued on Nov 9, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crownpoint, NM. The record was last updated on Nov 9, 2023.