Individual
ANDREA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SARNO RD STE 117, MELBOURNE, FL 32935-4992
(321) 622-6290
Mailing address
811 STARFISH CV, PATRICK AFB, FL 32925-3158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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