Individual
MICHAEL DION SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCAS
Contact information
Practice address
2902 A NORTH HERITAGE ST, KINSTON, NC 28501
(252) 520-0034
Mailing address
9451 US HIGHWAY 17 N, WASHINGTON, NC 27889-5551
(252) 975-6373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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