Individual
MR. GARY LAMONT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 N TRYON ST STE 111, CHARLOTTE, NC 28206-2704
(704) 819-6212
(704) 719-4108
Mailing address
1801 N TRYON ST STE 111, CHARLOTTE, NC 28206-2704
(704) 819-6212
(704) 719-4108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/16/2010
Last updated
11/02/2012
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