Doctor Name: | MS. KAREN LAJOY SMITH |
NPI Number: | 1366699308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 1258 |
Business Practice Address: | 123 Emma Rd Suite 204c Basalt, CO - 816219169 |
Business Phone Number: | 9709274519 |
Business Fax Number: | 9709276464 |
Mailing Address: | 123 Emma Rd, Suite 204c BASALT |
State: | CO |
Postal Code: | 816219169 |
Phone Number: | 9709274519 |
Fax Number: | 9709276464 |
NPI Enumeration Date: | 08/21/2008 |
NPI Last Update Date: | 08/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |