Individual
MR. CHESTER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 JACKSON ST STE B, ROANOKE RAPIDS, NC 27870-2656
(252) 537-4005
Mailing address
608 JACKSON ST STE B, ROANOKE RAPIDS, NC 27870-2656
(252) 537-4005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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