Individual
MS. MELISSA RIVERA-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
124 N COURT ST, FREDERICK, MD 21701-6614
(301) 304-7108
Mailing address
124 N COURT ST, FREDERICK, MD 21701-6614
(301) 304-7108
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11785
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
06/19/2019
Last updated
09/21/2022
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