Individual
JOHN LANE CONWELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
200 LITTLE FALLS ST STE 306, FALLS CHURCH, VA 22046-4302
(703) 231-7991
Mailing address
200 LITTLE FALLS ST STE 306, FALLS CHURCH, VA 22046-4302
(703) 231-7991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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