Individual
JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 MARTIN LUTHER KING JR DR STE A, LUMBERTON, NC 28358-5443
(984) 238-5756
Mailing address
3126 EMERYWOOD RD, EASTOVER, NC 28312-8582
(910) 474-3192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-25043
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
NC
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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