Individual
DR. JULIANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD., LPC, NCC, CCM
Contact information
Practice address
311 S MONROE AVE, COVINGTON, VA 24426-1635
(540) 965-2100
(540) 965-2105
Mailing address
311 S MONROE AVE, THE GUINAN CENTER, COVINGTON, VA 24426-1635
(540) 965-2100
(540) 965-2105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
06155
VA
101YP2500X
Professional Counselor
Primary
0701003272
VA
101YP2500X
Professional Counselor
44886
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06155
CERTIFIED CASE MANAGER
VA
01
—
0701003272
LICENSED PROFESSIONAL COUNSELOR - VA
VA
01
—
12514591
CAQH
VA
01
—
44886
NATIONALLY CERTIFIED COUNSELOR
VA
Enumeration date
03/29/2012
Last updated
03/25/2013
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