JACKSON ALYCE SMITH

TOPEKA, KS
NPI1376308692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  01143t)
Enumeration Date2024-02-15
Last Update Date2024-02-15
Business Address
JACKSON ALYCE SMITH
2201 SE 25TH ST
TOPEKA, KS 66605-1734
Phone number: 785-783-3274
Mailing Address
JACKSON ALYCE SMITH
236 S PATTIE AVE
WICHITA, KS 67211-1719
Phone number: 316-400-6863