Individual
EVAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 QUARRIER ST # 310310, CHARLESTON, WV 25301-2338
(130) 451-3390
Mailing address
1021 QUARRIER ST # 310310, CHARLESTON, WV 25301-2338
(130) 451-3390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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