Iesha Smith's National Provider Identifier (NPI) Details
Iesha Smith, LPC
NPI: 1396340824
Enumeration Date: 2020-12-02
Last updated: 2020-12-02
Sole Proprietor: NO
Status: active
Postal Address: 5652 HIGHLAND DR, JACKSON, MS
Phone:
Primary Practice Address: 1513 LAKELAND DR, JACKSON, MS
Practice's phone: 601-939-7990