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Individual
MICHAEL DORIAN SMITH
Active
Individual
MICHAEL DORIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000583
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005407036
—
VA
01
—
082305
ANTHEM BCBS OF VIRGINIA
VA
01
—
084256
SENTARA
VA
01
—
87647
CIGNA
MN
Enumeration date
05/23/2006
Last updated
04/17/2019
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