Individual
MISS KIMBLEY GAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
104 S CALHOUN ST, GREENVILLE, SC 29601-4042
(864) 283-0637
(864) 283-0638
Mailing address
112 W BELVUE RD, GREENVILLE, SC 29609-1704
(864) 360-6579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3676
SC
101YM0800X
Mental Health Counselor
Primary
3676
SC
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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