Individual
OLIVIA HENDERSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER BLVD 5TH FLOOR WATLINGTON HALL, WINSTON SALEM, NC 27157-0001
(336) 716-1439
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-1439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22315
NC
101YP2500X
Professional Counselor
13044
NC
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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