Individual
MR. TERRY J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4220 STATE ROUTE 417 W, WELLSVILLE, NY 14895-9332
(585) 593-6300
(585) 593-7071
Mailing address
4220 STATE ROUTE 417 W, WELLSVILLE, NY 14895-9332
(585) 593-6300
(585) 593-7071
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000297-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000297-1
NYS LICENSE/REGISTRATION
NY
Enumeration date
03/18/2008
Last updated
03/18/2008
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