Individual provider · Type 1 NPI
Shanasi Lee Smith
Mental Health Counselor · Tahlequah, OK
NPI number
1922555853
Active
Practice location
800 N East Ave Apt 7B
Tahlequah, OK 74464-2419
Mailing address
118 Sbk 410 Road
Stigler, OK 74462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 07432 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1922555853
Shanasi Lee Smith's National Provider Identifier is 1922555853, issued on Sep 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tahlequah, OK. The record was last updated on Aug 15, 2024.