Smith, Constance Sally

Smith, Constance Sally is an individual health care provider with primary practice located at 2120 Park Ave , Minneapolis MN 55404-3378. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Constance Sally can be contacted via phone (651) 774-0011.

Contact Information

Primary practice address
2120 Park Ave Minneapolis MN 55404-3378
Phone: (651) 774-0011
Fax: (651) 774-0606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302730 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1063703221
LBN Legal business name Smith, Constance Sally
Credentials LADC, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2011
Last updated Dec 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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