Individual provider · Type 1 NPI

Wanda Ellen Smart, L.P.C.

Professional Counselor · Longview, TX

NPI number 1912058629 Active

Practice location

501 Pine Tree Rd Ste A-0
Longview, TX 75604-4000

Call (903) 758-2610 Map

Fax (903) 758-3124

Mailing address

PO Box 6402
Longview, TX 75608-6402

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X13802 (TX)
Professional Counselor 101YP2500XNone listed
Professional Counselor Primary 101YP2500X13802 (TX)

Professional Counselor: Definition to come...

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About NPI 1912058629

Wanda Ellen Smart, L.P.C.'s National Provider Identifier is 1912058629, issued on Jan 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on Jan 5, 2021.