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Stephanie Rae Smith, CLC
Counselor in West Bend, Wisconsin
NPI 1487160644

Stephanie Rae Smith is a Counselor based in West Bend, WI. Stephanie Rae Smith practices in West Bend, WI and has the professional credentials of CLC. The NPI Number for Stephanie Rae Smith is 1487160644 and holds a License No. ALPP-42079 (Wisconsin).

The current practice location address for Stephanie Rae Smith is 5126 Martha Dr, West Bend, WI and can be reached out via phone at 262-501-1359. You can also correspond with Stephanie Rae Smith through the mailing address at 5126 MARTHA DR, WEST BEND, WI - 53095-8794 (mailing address contact number: 262-501-1359).

Location: 5126 Martha Dr, West Bend, WI, 53095-8794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487160644
Provider Name
Stephanie Rae Smith
Credential
CLC
Provider Entity Type
Individual
Gender
Female
Address
5126 Martha Dr, West Bend, WI, 53095-8794
Phone Number
262-501-1359
Fax Number
Provider Enumeration Date
12/22/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5126 Martha Dr
City
West Bend
State
Wisconsin
Zip
53095-8794
Phone Number
262-501-1359
Fax Number
person
Provider Business Mailing Address Details
Address
5126 Martha Dr
City
West Bend
State
Wisconsin
Zip
53095-8794
Phone Number
262-501-1359
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
ALPP-42079 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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