Individual
PAMELA KAYE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CEAP
Contact information
Practice address
290 COURT STREET, APPOMATTOX, VA 24522
(434) 851-4855
Mailing address
290 COURT STREET, APPOMATTOX, VA 24522
(434) 851-4855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
01/17/2013
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