Individual
EVA ANNMARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 EAST BLVD, CHESTERFIELD, SC 29709-5148
(843) 623-7062
Mailing address
121 SILVERBELL LN, LEXINGTON, SC 29073-6875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/23/2017
Last updated
03/17/2018
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