Mark Smith, LICSW

NPI 1508988908 · on the registry since 2007

Practice

Address: 5939 Portland Ave
Minneapolis, MN 55417
Phone: (612) 866-6100
Fax: (612) 866-9379
Organisation at this address: Crosstown Counseling, Plc
Diamond Lake Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota