Individual
DORA LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. LPC
Contact information
Practice address
21351 GENTRY DRIVE SUITE 200, STERLING, VA 20166
(703) 493-0891
Mailing address
124 BEVERLY AVE SW, WISE, VA 24293
(828) 707-0276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012259
VA
101YP2500X
Professional Counselor
0704013120
VA
Other
Enumeration date
03/08/2021
Last updated
03/01/2023
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