| Doctor Name: | KATHLEEN D SMITH |
| NPI Number: | 1144473166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, MSW, LPC |
| License Number: | LPC 1040 |
| Business Practice Address: | 1023 N Road 11 Worland, WY - 824019578 |
| Business Phone Number: | 3073472077 |
| Business Fax Number: | |
| Mailing Address: | 1023 N Road 11, WORLAND |
| State: | WY |
| Postal Code: | 824019578 |
| Phone Number: | 3074318005 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2008 |
| NPI Last Update Date: | 10/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC 1040 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |