Individual
CHANELL N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 N LILAC LN, SALISBURY, NC 28147-8171
(708) 527-0936
Mailing address
1104 N LILAC LN, SALISBURY, NC 28147-8171
(708) 527-0936
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
009650373I
NC
Other
Enumeration date
06/25/2020
Last updated
01/31/2025
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