Individual
REBECCA ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCAS-A
Contact information
Practice address
929 15TH ST NE, HICKORY, NC 28601-4161
(828) 327-6026
Mailing address
4330 VIOLA SIPE DR, CONOVER, NC 28613-8839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15687919
CAQH PROVIEW
NC
Enumeration date
08/10/2022
Last updated
08/10/2022
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