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Individual
NATHANIEL SMITH
Active
Individual
NATHANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A22810
NC
101YM0800X
Mental Health Counselor
Primary
A22810
NC
101YP2500X
Professional Counselor
A22810
NC
106S00000X
Behavior Technician
Primary
RBT-24-381299
NC
Other
Enumeration date
11/05/2024
Last updated
06/16/2026
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