Individual
MR. DIMAYQUOAYE A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS, GCDF, ICAADC
Contact information
Practice address
501 N LAFAYETTE ST STE B, SHELBY, NC 28150-4477
(704) 284-9440
Mailing address
122 BROOKHILL RD, SHELBY, NC 28150-4602
(704) 284-9440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14447
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
20651
NC
101YM0800X
Mental Health Counselor
20651
NC
Other
Enumeration date
07/20/2018
Last updated
05/23/2019
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