Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003136508 |
---|---|
Provider Name | Britney Sharrell Smith |
First Address | Oklahoma City, OK 73112-2212 |
Second Address | Oklahoma City, OK 73112-2212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2010 |
Last Update Date | 07/06/2010 |