Individual
THOMAS BYRON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
1035 CHERAW ST., BENNETTSVILLE, SC 29512
(843) 454-0442
(843) 454-0212
Mailing address
P.O. BOX 918, 1035 CHERAW ST., BENNETTSVILLE, SC 29512-0918
(843) 454-0841
(843) 454-0635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
RC00050884
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
01
—
RC00050884
DEPARTMENT OF HEALTH
WA
Enumeration date
11/12/2007
Last updated
12/17/2014
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