Doctor Name: | RHONDA B SMITH |
NPI Number: | 1023308566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 64104 |
Business Practice Address: | 404 W 9th St Ste 104 Georgetown, TX - 786265559 |
Business Phone Number: | 5126356130 |
Business Fax Number: | |
Mailing Address: | 107 Riverwood Dr, GEORGETOWN |
State: | TX |
Postal Code: | 786288342 |
Phone Number: | 5126356130 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2011 |
NPI Last Update Date: | 04/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 64104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |