Individual
MS. JOHANNA J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3 CARRIAGE DR, DOWNINGTOWN, PA 19335-1539
(610) 458-1931
Mailing address
3 CARRIAGE DR, DOWNINGTOWN, PA 19335-1539
(610) 458-1931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3223
NC
101YP2500X
Professional Counselor
PC000363
PA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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