Individual
MR. GEORGE TIMOTHY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
610 S COLLEGE RD, WILMINGTON, NC 28403-3202
(910) 799-1071
(910) 799-3313
Mailing address
610 S COLLEGE RD, WILMINGTON, NC 28403-3202
(910) 799-1071
(910) 799-3313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
898
NC
101YP1600X
Pastoral Counselor
898
NC
101YP2500X
Professional Counselor
898
NC
106H00000X
Marriage & Family Therapist
Primary
898
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198520
MEDCOST
NC
01
—
198665
MEDCOST
NC
05
—
6105105
—
NC
Enumeration date
02/06/2007
Last updated
09/10/2007
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