Individual
TENISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13701 US HIGHWAY 29 STE 3, CHATHAM, VA 24531-3611
(434) 429-7780
Mailing address
45 PINE ST APT 9, CHATHAM, VA 24531-4621
(434) 429-7780
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4513
VA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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