Individual
TERESA LYNNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
4150 BREEZEWOOD DR, APT. 203, WILMINGTON, NC 28412-2564
(919) 631-5181
Mailing address
4150 BREEZEWOOD DR, APT. 203, WILMINGTON, NC 28412-2564
(919) 631-5181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-15758
NC
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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