Individual
JOANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9023 FOREST HILL AVE STE 2A, NORTH CHESTERFIELD, VA 23235-3054
(804) 416-5052
(804) 800-2423
Mailing address
2508 HAVARD RD, OCEAN SPRINGS, MS 39564-4209
(321) 432-3211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701009425
VA
101YM0800X
Mental Health Counselor
0704009808
VA
Other
Enumeration date
08/21/2019
Last updated
07/27/2020
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