Individual
MS. PENELOPE A. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10466 CHESTNUT RIDGE RD, LYNCHBURG, TN 37352-5629
(931) 307-8768
(931) 759-5176
Mailing address
10466 CHESTNUT RIDGE RD, LYNCHBURG, TN 37352-5629
(931) 307-8768
(931) 759-5176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PE0000011688
TN
Other
Enumeration date
10/29/2010
Last updated
11/07/2010
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