Individual
MADELINE ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LCASA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
26951
NC
101YM0800X
Mental Health Counselor
15699
NC
101YP2500X
Professional Counselor
Primary
15699
NC
Other
Enumeration date
12/23/2020
Last updated
01/12/2023
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