Individual
MR. JOHN KENNY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
140D LARKSPUR LN, GALAX, VA 24333-2305
(276) 236-6341
(276) 236-6237
Mailing address
140D LARKSPUR LN, GALAX, VA 24333-2305
(276) 236-6341
(276) 236-6237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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