Individual
NATISHA ANGIENIK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
108 W FIRE TOWER RD, SUITE F, WINTERVILLE, NC 28590-8371
(252) 752-5555
(252) 752-5455
Mailing address
60 COMMERCE PLZ, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2585
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2585
NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
NC
Enumeration date
02/28/2012
Last updated
02/28/2012
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