Individual
ADRIENNE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3608 BOSUN DR, CHESAPEAKE, VA 23321-3310
(757) 828-6301
Mailing address
3608 BOSUN DR, CHESAPEAKE, VA 23321-3310
(757) 828-6301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
VA
101YP2500X
Professional Counselor
Primary
0701011850
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017519000001
—
VA
05
—
30017519000002
—
VA
Enumeration date
09/21/2022
Last updated
01/30/2025
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