Misty Lane Smith, PCMHT

NPI #1790961084 in Iuka, Mississippi

Provider Information

NPI Number
1790961084
Entity Type
Individual
Name
Misty Lane Smith, PCMHT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
PCMHT
Enumeration Date
Jan 16, 2008
Last Updated
Apr 27, 2018

Practice Location

Address
1213 MARIA LN
City
Iuka
ZIP Code
38852-1135
Phone
(662) 423-3332

Specialties & Taxonomy Codes

Specialty
Counselor

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