Individual
MS. YVONNE DENISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, CCS
Contact information
Practice address
226 BRADFORD AVENUE, FAYETTEVILLE, NC 28301
(910) 829-9017
(910) 485-4752
Mailing address
226 BRADFORD AVENUE, FAYETTEVILLE, NC 28301
(910) 829-9017
(910) 485-4752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
764
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-746;CCS-520
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111893
—
NC
Enumeration date
11/02/2006
Last updated
10/17/2012
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