Individual
MICHELLE DILLON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, RPT-S, NCC, ACS
Contact information
Practice address
110 VISTA CENTRE DR STE 18, FOREST, VA 24551-2775
(434) 316-6023
Mailing address
859 MADDOX RD, GLADYS, VA 24554-2427
(757) 880-7123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006225
VA
Other
Enumeration date
11/30/2016
Last updated
06/11/2023
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