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General NPI Number Information
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NPI Number | 1770152043
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Entity Type | Organization
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Legal Business Name | WENDELL E. SMITH COUNSELING, INC.
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 1809 EXECUTIVE SQ
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City | JONESBORO
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State | AR
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Zip | 72401-6086
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Country | US
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Telephone | 870-926-7356
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Fax |
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Provider Business Mailing Address
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Address Line | 422 W HIGHLAND DR
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City | JONESBORO
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State | AR
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Zip | 72401-5816
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Country | US
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Telephone | 870-926-7356
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. WENDELL EDWARD SMITH
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Credential | LPC-S
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Telephone | 870-926-7356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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