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General NPI Number Information
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NPI Number | 1962315077
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Entity Type | Organization
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Legal Business Name | KANDY M. SMITH LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 1360 S 5TH ST STE 398
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2447
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Country | US
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Telephone | 314-435-5253
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Fax | 314-558-1839
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Provider Business Mailing Address
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Address Line | 1360 S 5TH ST STE 398
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2447
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Country | US
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Telephone | 314-435-5253
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Fax | 314-558-1839
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | KANDY M. SMITH
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Credential | LPC
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Telephone | 314-435-5253
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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 |
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License Number State | NULL
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