Individual
KATIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8376 SIX FORKS RD STE 104, RALEIGH, NC 27615-5095
(919) 900-7438
Mailing address
116 FOREST RIDGE DR, WILLOW SPRING, NC 27592-7604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13314
NC
Other
Enumeration date
09/28/2017
Last updated
10/01/2017
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