| P. Jean Smith Lmft | |
|
204 N Floral St Suite A Visalia CA 93291-4957 | |
| (559) 406-9761 | |
| (484) 906-1676 |
| Full Name | P. Jean Smith Lmft |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 204 N Floral St, Visalia, California |
| Authorized Official Name and Position | Phillipa Jean Smith (SOLE PROPRIETOR) |
| Authorized Official Contact | 5598591911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P. Jean Smith Lmft 204 N Floral St Suite A Visalia CA 93291-4957 Ph: (559) 406-9761 | P. Jean Smith Lmft 204 N Floral St Suite A Visalia CA 93291-4957 Ph: (559) 406-9761 |
| NPI Number | 1467842401 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467842401 | NPI | - | NPPES |
| 12575812 | Other | CA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC45288 (California) | Primary |
| 251S00000X | Community/behavioral Health | 7 (California) | Secondary |
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