Individual
MS. ANGELIA LYNETTE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
12584 DARBY BROOKE CT, WOODBRIDGE, VA 22192-2485
(703) 490-9962
(703) 490-9964
Mailing address
12584 DARBY BROOKE CT, WOODBRIDGE, VA 22192-2485
(703) 490-9962
(703) 490-9964
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003454
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177301
ANTHEM
—
01
—
238333
APS
—
01
—
530294
NCPPO
—
01
—
7418169
MAMSI
—
01
—
J2680001
CAREFIRST BCBS
—
Enumeration date
09/02/2006
Last updated
07/08/2007
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