Individual
MR. GENE PRESTON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
1045 MAIN ST, STE.3, DANVILLE, VA 24541-1800
(434) 822-6600
(434) 822-6600
Mailing address
1045 MAIN ST, STE.3, DANVILLE, VA 24541-1800
(434) 822-6600
(434) 822-6600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
560
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
560
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561827601
TAX ID
NC
Enumeration date
12/21/2012
Last updated
12/21/2012
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