Mary F Smith, LPC-S, LMFT
Counselor, Professional in Ponchatoula, LA. Individual provider (NPI-1).
NPI number1124531397
StatusActive
Last updated in NPPESApr 14, 2020
Details
- NPI
- 1124531397
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary F Smith
- Credential
- LPC-S, LMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2017
- Certification date
- Apr 14, 2020
- Last updated
- Apr 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2724 | LA | Yes |
| 106H00000X | Marriage & Family Therapist | 851 | LA |
Practice location
100 N 13th StPonchatoula, LA 70454
Phone 985-517-7034
Mailing address
100 N 13th StPonchatoula, LA 70454
Phone 985-517-7034
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