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Individual

MR. KENYA T SMOKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, MFT, LMSW

Contact information

Practice address
100 W 10TH ST, SUITE 415, WILMINGTON, DE 19801-6603
(302) 654-5471
(302) 654-5472
Mailing address
805 RIVER ROAD, SUITE 303, WILMINGTON, DE 19801-6603
(302) 857-5060
(302) 857-5061

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
Q3-0010786
DE

Other

Enumeration date
08/21/2012
Last updated
02/21/2022
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