Individual
CARLY NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
140 HEALTH CARE LN, P.O. 517, MARSHALL, NC 28753-6350
(828) 649-2367
(828) 649-3859
Mailing address
140 HEALTH CARE LN, P.O. 517, MARSHALL, NC 28753-6350
(828) 649-2367
(828) 649-3859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301778B
—
NC
Enumeration date
01/07/2008
Last updated
01/07/2008
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