Individual
DR. JONATHAN ERIC SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LMFT
Contact information
Practice address
1664 CHESTWOOD DR, VIRGINIA BEACH, VA 23453-7064
(757) 412-7753
(757) 301-6920
Mailing address
1664 CHESTWOOD DR, VIRGINIA BEACH, VA 23453-7064
(757) 412-7753
(757) 301-6920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0717001246
VA
101YM0800X
Mental Health Counselor
0717001246
VA
101YP1600X
Pastoral Counselor
0717001246
VA
102L00000X
Psychoanalyst
0717001246
VA
106H00000X
Marriage & Family Therapist
Primary
0717001246
VA
Other
Enumeration date
04/08/2009
Last updated
08/09/2012
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