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Individual

MR. BLAIR KERNS SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LMFT, CSOTP

Contact information

Practice address
610 THIMBLE SHOALS BLVD, NEWPORT NEWS, VA 23606-2573
(757) 873-3353
(757) 873-1810
Mailing address
610 THIMBLE SHOALS BLVD, NEWPORT NEWS, VA 23606-2573
(757) 873-3353
(757) 873-1810

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001606
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005409691
VA
05
005412340
VA
05
005412358
VA
Enumeration date
10/27/2006
Last updated
09/28/2011
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