Individual
MRS. FELICIA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3555 S CRATER RD, PETERSBURG, VA 23805-9210
(804) 862-6095
Mailing address
11913 SWIFT CROSSING DR, MIDLOTHIAN, VA 23112-3177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007074
VA
Other
Enumeration date
12/15/2017
Last updated
03/17/2018
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