Individual
JEREMY MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC, LPC
Contact information
Practice address
232 TOWN MART, CLANTON, AL 35045-3784
(205) 280-7733
(205) 280-7737
Mailing address
311 DEBRA AVE, CLANTON, AL 35045-2008
(205) 280-7733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2723
AL
101YP2500X
Professional Counselor
Primary
2723
AL
Other
Enumeration date
01/22/2013
Last updated
05/22/2013
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