Individual
MELODY H SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT, CACI
Contact information
Practice address
39 BROAD ST, SUITE 206, CHARLESTON, SC 29401-3019
(843) 300-8899
Mailing address
2 FAMILY CIR, CHARLESTON, SC 29407-3437
(843) 300-8899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1311269
SC
106H00000X
Marriage & Family Therapist
Primary
4553
SC
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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