Individual
MRS. BRENDA R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH, NCC
Contact information
Practice address
17596 DAVIS RD, GEORGETOWN, DE 19947-4427
(302) 569-2519
Mailing address
17596 DAVIS RD, GEORGETOWN, DE 19947-4427
(302) 569-2519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC-0000597
DE
101YM0800X
Mental Health Counselor
Primary
PC-0000597
DE
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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