MRS. Diana Marie Smith, PHD, LPC-MH
NPI #1750433629 in Black Hawk, South Dakota
Provider Information
- NPI Number
- 1750433629
- Entity Type
- Individual
- Name
- MRS. Diana Marie Smith, PHD, LPC-MH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- PHD, LPC-MH
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Feb 7, 2020
Practice Location
- Address
- 6613 EASTRIDGE RD
- City
- Black Hawk
- State
- South Dakota
- ZIP Code
- 57718-8335
- Phone
- (605) 431-8595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
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