Individual
DR. ELYSSA B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, RPT, ACS
Contact information
Practice address
30 FRONT STREET, HAMMONTON, NJ 08037
(267) 368-4324
Mailing address
744 SOUTH ST # 138, PHILADELPHIA, PA 19147-2023
(267) 368-4324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC008523
PA
101YP2500X
Professional Counselor
Primary
PC008523
PA
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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