| Doctor Name: | MR. CHESTER OVERBAY SMITH |
| NPI Number: | 1053469171 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.ED., LPC |
| License Number: | 000726 |
| Business Practice Address: | 225 S Meramec Ave Suite 214 Clayton, MO - 631053511 |
| Business Phone Number: | 3147217885 |
| Business Fax Number: | 3147213611 |
| Mailing Address: | 225 S Meramec Ave, Suite 214 CLAYTON |
| State: | MO |
| Postal Code: | 631053511 |
| Phone Number: | 3147217885 |
| Fax Number: | 3147213611 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 000726 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |