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Individual

MRS. ANDREA RENEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC, LPC

Contact information

Practice address
7900 TRIAD CENTER DR, SUITE 350, GREENSBORO, NC 27409-9073
(336) 931-1823
(336) 931-1801
Mailing address
4284 7 LKS W, 119 DENNIS CIRCLE, WEST END, NC 27376-9306
(910) 673-1377
(910) 673-1377

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5241
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8300970
NC
Enumeration date
06/10/2007
Last updated
07/09/2007
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