Individual
MICHELLE K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 27TH ST, DUNBAR, WV 25064-2211
(304) 766-0363
Mailing address
5205 RAVEN DR, CHARLESTON, WV 25306-6244
(304) 610-2972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2361
WV
Other
Enumeration date
11/01/2018
Last updated
10/13/2025
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