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Antionque Alexius Smith
Mental Health Counselor in Starkville, Mississippi
NPI 1669175683

Antionque Alexius Smith is a Mental Health Counselor based in Jackson, MS and is specialized in Mental Health. Antionque Alexius Smith practices in Starkville, MS. The NPI Number for Antionque Alexius Smith is 1669175683 and holds a License No. (Mississippi).

The current practice location address for Antionque Alexius Smith is 100 Starr Ave Ste A, Starkville, MS and can be reached out via phone at 662-268-8059.

Location: 100 Starr Ave Ste A, Starkville, MS, 39202-3442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669175683
Provider Name
Antionque Alexius Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Starr Ave Ste A, Starkville, MS, 39202-3442
Phone Number
662-268-8059
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Starr Ave Ste A
City
Starkville
State
Mississippi
Zip
39759-4032
Phone Number
662-268-8059
Fax Number
person
Provider Business Mailing Address Details
Address
100 Starr Ave Ste A
City
Starkville
State
Mississippi
Zip
39759-4032
Phone Number
662-268-8059
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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