Individual
TAYLA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
186 LAKE ST, SAINT ALBANS, VT 05478-2238
(304) 669-4380
Mailing address
2656 RUSH TRL, OWENSBORO, KY 42303-1591
(802) 277-0830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
068.0135231
VT
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/03/2018
Last updated
07/11/2023
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