Individual
DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC MHSP
Contact information
Practice address
611 S WAYNE AVE, WAYNESBORO, VA 22980-4837
(256) 887-6055
Mailing address
611 S WAYNE AVE, WAYNESBORO, VA 22980-4837
(562) 887-6055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010001
VA
101YP2500X
Professional Counselor
2787
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
04/11/2007
Last updated
02/06/2024
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