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Individual

JANICE CAROL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC, LCAS

Contact information

Practice address
710 CROMWELL DR STE F, GREENVILLE, NC 27858-5441
(252) 228-3060
(252) 228-3060
Mailing address
3273 N DAVIS DR, FARMVILLE, NC 27828-1596
(252) 228-3060
(252) 228-3060

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2105
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1030F
BLUE CROSS BLUE SHEILD
NC
01
124123
VALUE OPTIONS
NC
Enumeration date
09/04/2006
Last updated
07/08/2007
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