Individual
MICAH DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13817 VILLAGE MILL DR STE R, MIDLOTHIAN, VA 23114-4378
(617) 379-0496
Mailing address
13817 VILLAGE MILL DR STE R, MIDLOTHIAN, VA 23114-4378
(617) 379-0496
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010910
VA
Other
Enumeration date
10/27/2021
Last updated
08/27/2022
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