Individual
MRS. CANDICE RACHEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
8512 SIX FORKS RD STE 101, RALEIGH, NC 27615-3256
(919) 464-7398
Mailing address
8316 AMBER LANTERN ST, APARTMENT 207, RALEIGH, NC 27613-4582
(919) 464-7398
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A12107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A12107
NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
Enumeration date
04/05/2016
Last updated
04/05/2016
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