| Lisa Smith Llc | |
|
132 6th Ave S Ste 1 Clinton IA 52732-4103 | |
| (563) 271-6835 | |
| Not Available |
| Full Name | Lisa Smith Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 132 6th Ave S Ste 1, Clinton, Iowa |
| Authorized Official Name and Position | Lisa Ann Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5632716835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Smith Llc 132 6th Ave S Ste 1 Clinton IA 52732-4103 Ph: (563) 271-6835 | Lisa Smith Llc 132 6th Ave S Ste 1 Clinton IA 52732-4103 Ph: (563) 271-6835 |
| NPI Number | 1568274702 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568274702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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