Individual
KENDRA LYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5717 FALLS RD, BALTIMORE, MD 21209-3707
(443) 843-0360
Mailing address
5717 FALLS RD, BALTIMORE, MD 21209-3707
(443) 843-0360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC1467
MD
101YM0800X
Mental Health Counselor
PRC13726
DC
101YP2500X
Professional Counselor
LC1467
MD
Other
Enumeration date
07/25/2008
Last updated
01/08/2021
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