Individual
MS. STEVANIE E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LCADC
Contact information
Practice address
1795 ALYSHEBA WAY, 1001, LEXINGTON, KY 40509-2282
(859) 687-0416
(859) 353-4200
Mailing address
1795 ALYSHEBA WAY, 1001, LEXINGTON, KY 40509-2282
(859) 687-0416
(859) 353-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171070
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12669382
CAQH
—
Enumeration date
02/19/2014
Last updated
02/21/2023
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