Loretta Smallwood, L.M.T

NPI #1053669796 in Manchester, Kentucky

Provider Information

NPI Number: 1053669796
Entity Type: Individual
Name: Loretta Smallwood, L.M.T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: L.M.T
Enumeration Date: Aug 28, 2012
Last Updated: Jul 10, 2023

Practice Location

Address: 411 RICHMOND RD
City: Manchester
State: Kentucky
ZIP Code: 40962-1212
Phone: (606) 391-3584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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