Individual
MRS. EBONY I SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
600 S FAYETTEVILLE ST, ASHEBORO, NC 27203-6404
(910) 220-2199
Mailing address
600 S FAYETTEVILLE ST, ASHEBORO, NC 27203-6404
(910) 220-2199
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9080
NC
Other
Enumeration date
09/08/2010
Last updated
05/14/2014
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