Individual
CHERESE SMITH BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
2200 SILAS CREEK PKWY STE 8A, WINSTON SALEM, NC 27103-5000
(336) 464-7445
Mailing address
2200 SILAS CREEK PKWY STE 8A, WINSTON SALEM, NC 27103-5000
(336) 464-7445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19718
NC
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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