Individual
JAMES MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
1904 BALDREE RD S, WILSON, NC 27893-9509
(252) 296-8661
Mailing address
313 CLIFTON ST, GREENVILLE, NC 27858-5008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30090
NC
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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