Individual
MICHELLE C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCAS, CCS
Contact information
Practice address
3709 NASH ST NW, WILSON, NC 27896-1127
(252) 206-5799
(252) 206-5778
Mailing address
3709 NASH ST NW, WILSON, NC 27896-1127
(252) 206-5799
(252) 206-5778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
733
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
06/18/2010
Last updated
10/01/2015
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