Individual provider · Type 1 NPI

Kimberly K. Smith, M ED

Mental Health Counselor · Fort Wayne, IN

NPI number 1972789600 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Fax (260) 481-2717

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X39002899A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1972789600

Kimberly K. Smith, M ED's National Provider Identifier is 1972789600, issued on Jan 11, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 15, 2021.