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Individual

DEITRE M SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CSAC

Contact information

Practice address
555 BELAIRE AVE STE 350, CHESAPEAKE, VA 23320-4789
(804) 207-6737
Mailing address
555 BELAIRE AVE STE 350, CHESAPEAKE, VA 23320-4789
(804) 207-6737

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103460
VA
101YM0800X
Mental Health Counselor
0701010828
VA
101YP2500X
Professional Counselor
Primary
0701010828
VA

Other

Enumeration date
12/22/2020
Last updated
06/25/2025
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