Individual
MS. MANDY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
405 ALLEGHENY AVE, TOWSON, MD 21204-4256
(443) 470-5656
(443) 470-8658
Mailing address
816 OLMSTEAD RD, PIKESVILLE, MD 21208-4754
(443) 470-5656
(443) 470-8658
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1909
MD
101YP2500X
Professional Counselor
Primary
LC1909
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
645011300
—
MD
Enumeration date
05/16/2013
Last updated
10/17/2022
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