Individual
ANGIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
130 CARBONTON RD, SANFORD, NC 27330-4009
(919) 774-6521
Mailing address
130 CARBONTON RD, SANFORD, NC 27330-4009
(919) 774-6521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26403
NC
Other
Enumeration date
07/12/2017
Last updated
11/30/2021
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