Individual
DEBORAH LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
99 TAVERN RD, MARTINSBURG, WV 25401-2890
(304) 263-7023
Mailing address
99 TAVERN RD, MARTINSBURG, WV 25401-2890
(304) 263-7023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701002884
VA
101YP2500X
Professional Counselor
2343
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701002884
COMMONWEALTH OF VIRGINIA
VA
01
—
2343
WEST VIRGINIA BOARD OF EXAMINERS INCOUNSELING
WV
Enumeration date
08/28/2013
Last updated
10/23/2020
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