Individual
VONDELLA MOKEYIA SMITH-RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
Mailing address
2492 FAIRWAY DR, ORANGEBURG, SC 29118-4004
(803) 937-5793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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