Individual
MRS. ALISA KATHLEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
104 W WALNUT CIR, SUMMERVILLE, SC 29485-7835
(843) 764-7234
Mailing address
104 W WALNUT CIR, SUMMERVILLE, SC 29485-7835
(843) 764-7234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10251
SC
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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