Individual
DR. CAROL YVONNE SMITH
Active
Individual
DR. CAROL YVONNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PHD, MS, LICSW,
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12946
WI
103TC0700X
Clinical Psychologist
Primary
3503
NC
1041C0700X
Clinical Social Worker
4272-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39530500
—
WI
05
—
6001053
—
NC
Enumeration date
06/22/2005
Last updated
03/30/2009
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