Individual
HEATHER CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1706 ADDISON ST, PHILADELPHIA, PA 19146-1517
(215) 932-0727
Mailing address
1706 ADDISON ST, PHILADELPHIA, PA 19146-1517
(215) 932-0727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YM0800X
PA
101YM0800X
Mental Health Counselor
Primary
232828922
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YWP80145325400
CAPITAL BLUE
PA
Enumeration date
10/17/2014
Last updated
10/17/2014
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