Individual
TREVA LAYTANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAS(P)
Contact information
Practice address
115 N 3RD STREET, SMITHFIELD, NC 27577
(910) 495-3332
Mailing address
115 N 3RD STREET, SMITHFIELD, NC 27577
(910) 495-3332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2781-A
NC
Other
Enumeration date
08/15/2012
Last updated
10/22/2012
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