person
Constance Sally Smith, LADC,LPCC
Professional Counselor in Minneapolis, Minnesota
NPI 1063703221

Constance Sally Smith is a Professional Counselor based in Eagan, MN and is specialized in Professional. Constance Sally Smith practices in Minneapolis, MN and has the professional credentials of LADC,LPCC. The NPI Number for Constance Sally Smith is 1063703221 and holds a License No. 302730 (Minnesota).

The current practice location address for Constance Sally Smith is 2120 Park Ave, Minneapolis, MN and can be reached out via phone at 651-774-0011 and via fax at 651-774-0606. You can also correspond with Constance Sally Smith through the mailing address at 3000 AMES CROSSING RD STE 600, EAGAN, MN - 55121-2519 (mailing address contact number: 651-774-0011).

Location: 2120 Park Ave, Minneapolis, MN, 55121-2519
person
Provider Profile Details
NPI Number
1063703221
Provider Name
Constance Sally Smith
Credential
LADC,LPCC
Provider Entity Type
Individual
Gender
Female
Address
2120 Park Ave, Minneapolis, MN, 55121-2519
Phone Number
651-774-0011
Fax Number
651-774-0606
Provider Enumeration Date
04/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2120 Park Ave
City
State
Zip
55404-3378
Phone Number
651-774-0011
Fax Number
651-774-0606
person
Provider Business Mailing Address Details
Address
2120 Park Ave
City
State
Zip
55404-3378
Phone Number
651-774-0011
Fax Number
651-774-0606
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
302730 (Minnesota)
Definition
Definition to come...
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