Individual
RACHEL ALICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, LCADC
Contact information
Practice address
1115 ASHGROVE RD, NICHOLASVILLE, KY 40356-9202
(859) 813-0569
Mailing address
1115 ASHGROVE RD, NICHOLASVILLE, KY 40356-9202
(859) 813-0569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
265858
KY
101YP2500X
Professional Counselor
Primary
243594
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243594
LICENSED PROFESSIONAL CLINICAL COUNSELOR
KY
05
—
7100552280
—
KY
Enumeration date
06/01/2018
Last updated
03/07/2023
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