Individual
AUTUMN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
319 W PATRICK ST, FREDERICK, MD 21701-4855
(301) 360-4349
Mailing address
11011 MONTROSE AVE, GARRETT PARK, MD 20896-1524
(301) 956-6873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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