Provider Demographics
NPI:1902547979
Name:SMITH, VALARIE ANN (LPC)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:ANN
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 ROAD 26
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:KS
Mailing Address - Zip Code:67761-3042
Mailing Address - Country:US
Mailing Address - Phone:620-805-9144
Mailing Address - Fax:
Practice Address - Street 1:1445 ROAD 26
Practice Address - Street 2:
Practice Address - City:WALLACE
Practice Address - State:KS
Practice Address - Zip Code:67761-3042
Practice Address - Country:US
Practice Address - Phone:620-805-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor