Individual
LAURA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
450 WASHINGTON STREET, BOYDTON, VA 23917-0350
(434) 738-0406
Mailing address
143 INDUSTRIAL PKWY, P.O. BOX 1478, CLARKSVILLE, VA 23927-3140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003918
VA
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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