Corry Smith is a Counselor based in Provo, UT. Corry Smith practices in Provo, UT. The NPI Number for Corry Smith is 1972010882 and holds a License No. (Utah).
The current practice location address for Corry Smith is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-4760 and via fax at 801-373-0639.
Location: 750 N Freedom Blvd, Provo, UT, 84601-1677
Provider Profile Details
NPI Number
1972010882
Provider Name
Corry Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 N Freedom Blvd, Provo, UT, 84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
Provider Enumeration Date
01/02/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0700X | 05 | UT |
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
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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