Edward Michael Smith, LPC-IT

NPI #1548892821 in Dousman, Wisconsin

Provider Information

NPI Number
1548892821
Entity Type
Individual
Name
Edward Michael Smith, LPC-IT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LPC-IT
Enumeration Date
Feb 5, 2020
Last Updated
Feb 10, 2020

Practice Location

Address
W350S1401 WATERVILLE RD
ZIP Code
53118-9020
Phone
(920) 253-1862

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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