Search › Wisconsin › 101YM0800X
Edward Smith, LPC-IT
NPI 1548892821 · on the registry since 2020
Practice
- Address
- W350s1401 Waterville Rd
Dousman, WI 53118 - Phone
- (920) 253-1862
- Organisation at this address
- Lad Lake, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-10
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 Wisconsin