Individual
JASON D. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LCMHCA
Contact information
Practice address
7151 OKELLY CHAPEL RD STE 181, CARY, NC 27519-6849
(919) 751-6107
Mailing address
4260 ED HERRING RD, LA GRANGE, NC 28551-8332
(615) 495-5679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20754
NC
101YS0200X
School Counselor
1242639
NC
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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