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General NPI Number Information
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NPI Number | 1821597287
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Entity Type | Individual
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Provider Name | DEANNA SMITH LPC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 3500 N VILLAGE DR STE 264
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-4979
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Country | US
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Telephone | 816-226-6763
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Fax |
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Provider Business Mailing Address
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Address Line | 4510 HUNTERS GLEN DR APT B
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-4047
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Country | US
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Telephone | 501-515-8446
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | TPMC3257
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P2206018
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1895
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2023029165
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License Number State | MO
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