Individual
JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCAS
Contact information
Practice address
416 FAIRLEY ST., SUITE E, LAURINBURG, NC 28352
(910) 276-8545
Mailing address
PO BOX 963, LUMBERTON, NC 28359-0963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
087
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111802
—
NC
Enumeration date
11/15/2006
Last updated
07/08/2007
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