Individual
MR. JEFFERY CRAIG SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
11-21 BROADWAY, GLOVERSVILLE, NY 12078
(518) 725-4310
(518) 725-2556
Mailing address
138 DUNLAP ROAD, AMSTERDAM, NY 12010
(518) 843-3721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5727217
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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