Individual
CHAKA P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 LYTTLETON WAY, ANDERSON, SC 29621-1817
(864) 351-9434
Mailing address
207 LYTTLETON WAY, ANDERSON, SC 29621-1817
(864) 351-9434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
07/28/2006
Last updated
09/24/2012
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