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Individual
MR. SYLVESTER R. SMITH
Active
Individual
MR. SYLVESTER R. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSRC; LPC, CRC, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20131
NC
101YM0800X
Mental Health Counselor
Primary
8977
NC
101YP2500X
Professional Counselor
8977
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
00112424
NC
103TR0400X
Rehabilitation Psychologist
00112424
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6115154
NORTH CAROLINA HEALTH CHOICE
NC
05
—
6115154
—
NC
Enumeration date
07/08/2009
Last updated
03/10/2017
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