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Individual

ORRONDA SAMONE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
401 HAWTHORNE LN STE 110, CHARLOTTE, NC 28204-2358
(843) 478-2811
Mailing address
401 HAWTHORNE LN STE 110, CHARLOTTE, NC 28204-2358
(843) 478-2811

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
20251392401
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
20251392401
NC
101YM0800X
Mental Health Counselor
20251392401
NC
101YP2500X
Professional Counselor
20251392401
NC
175T00000X
Peer Specialist
Primary
20251392401
NC

Other

Enumeration date
06/23/2025
Last updated
06/26/2025
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