Individual
JEFFREY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
3826 BLAND RD, RALEIGH, NC 27609-6239
(919) 872-1441
(919) 872-1455
Mailing address
3533 LIMBER LN, RALEIGH, NC 27616-8981
(919) 426-4629
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27088
NC
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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