Individual
MRS. AUDREY CAMILLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2324 CONCORD LAKE RD, CONCORD, NC 28025-2814
(704) 918-1343
Mailing address
3340 BALSAM TREE DR, CHARLOTTE, NC 28269-0692
(828) 514-5612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12916
NC
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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