Individual
JENNIFER BROADWAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
264 GREENSBORO STREET EXT, LEXINGTON, NC 27295-1969
(336) 236-7347
Mailing address
264 GREENSBORO STREET EXT, LEXINGTON, NC 27295-1969
(336) 236-7347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A10089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YMO800X
MENTAL HEALTH
NC
Enumeration date
06/13/2013
Last updated
07/12/2017
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