Individual
ELBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC-A
Contact information
Practice address
612 CHALCEDONY CT, DURHAM, NC 27703-2691
(919) 282-2409
Mailing address
612 CHALCEDONY CT, DURHAM, NC 27703-2691
(919) 282-2409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16685
NC
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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