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Dillon Smith, LPC Candidate

Counselor, Mental Health in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1003570599
StatusActive
Last updated in NPPESJan 17, 2022

Details

NPI
1003570599
Entity type
Individual (NPI-1)
Name
Dillon Smith
Credential
LPC Candidate
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 29, 2021
Certification date
Jan 17, 2022
Last updated
Jan 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

12412 Chase End Ct
Oklahoma City, OK 73142-4803

Phone 405-693-2746

Mailing address

12412 Chase End Ct
Oklahoma City, OK 73142-4803

Phone 405-693-2746

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