Individual
MRS. LORICE GRADY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIP/LPC-A/LCAS-A/LRT
Contact information
Practice address
305 HUNTERS CREEK DR, GOLDSBORO, NC 27534-8329
(919) 920-9976
Mailing address
305 HUNTERS CREEK DR, GOLDSBORO, NC 27534-8329
(919) 988-9582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3031-A
NC
101YP2500X
Professional Counselor
Primary
A-10224
NC
174400000X
Specialist
1116
NC
Other
Enumeration date
01/04/2007
Last updated
11/02/2018
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