Doctor Name: | HOLLY C SMIGEL |
NPI Number: | 1720379183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 001295 |
Business Practice Address: | 2707 Dubuque St Ne North Liberty, IA - 523179381 |
Business Phone Number: | 3195417253 |
Business Fax Number: | |
Mailing Address: | 1290 W Forevergreen Rd, NORTH LIBERTY |
State: | IA |
Postal Code: | 523178519 |
Phone Number: | 3195417253 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2011 |
NPI Last Update Date: | 04/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |