person
Ms. Wanda Ellen Smart, LPC
Professional Counselor in Longview, Texas
NPI 1912058629

Wanda Ellen Smart is a Professional Counselor based in Longview, TX and is specialized in Professional. Wanda Ellen Smart practices in Longview, TX and has the professional credentials of LPC. The NPI Number for Wanda Ellen Smart is 1912058629 and holds a License No. 13802 (Texas).

The current practice location address for Wanda Ellen Smart is 501 Pine Tree Rd Ste A-0, Longview, TX and can be reached out via phone at 903-758-2610 and via fax at 903-758-3124.

Location: 501 Pine Tree Rd Ste A-0, Longview, TX, 75608-6402
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Provider Profile Details
NPI Number
1912058629
Provider Name
Wanda Ellen Smart
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
501 Pine Tree Rd Ste A-0, Longview, TX, 75608-6402
Phone Number
903-758-2610
Fax Number
903-758-3124
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13802 01 TX LICENSE TO PRACTICE
1130684-01 05 TX
institution
Provider Business Practice Location Address Details
Address
501 Pine Tree Rd Ste A-0
City
State
Zip
75604-4000
Phone Number
903-758-2610
Fax Number
903-758-3124
person
Provider Business Mailing Address Details
Address
501 Pine Tree Rd Ste A-0
City
State
Zip
75604-4000
Phone Number
903-758-2610
Fax Number
903-758-3124
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
13802 (Texas)
Definition
Definition to come...
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