Individual
MS. CAROL LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC LDAC
Contact information
Practice address
445 PORTLAND ST, ST. JOHNSBURY, VT 05819
(802) 748-6166
(802) 748-3316
Mailing address
47 OAK ST., NEWPORT, VT 05855
(802) 334-1343
(802) 748-3316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000461
VT
101YM0800X
Mental Health Counselor
Primary
068.0057811
VT
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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