Individual provider · Type 1 NPI
David Smith, LPC
Professional Counselor · Kenosha, WI
NPI number
1720538499
Active
Practice location
10900 67th Street
Kenosha, WI 53142
Mailing address
5439 Durand Ave, Suite 240B
Mount Pleasant, WI 53406-5058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6231-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1720538499
David Smith, LPC's National Provider Identifier is 1720538499, issued on Oct 6, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kenosha, WI. The record was last updated on Oct 6, 2016.