Doctor Name: | MR. JOSHUA AARON SMITH |
NPI Number: | 1215277397 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.P.C. |
License Number: | 3516 |
Business Practice Address: | 1803 Lees Creek Church Rd Bogalusa, LA - 704277835 |
Business Phone Number: | 9854150927 |
Business Fax Number: | 9853275318 |
Mailing Address: | 1803 Lees Creek Church Rd, BOGALUSA |
State: | LA |
Postal Code: | 704277835 |
Phone Number: | 9854150927 |
Fax Number: | 9853275318 |
NPI Enumeration Date: | 02/26/2013 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3516 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |