Individual
CHRISTINA DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
160 NATICK TRL, BRICK, NJ 08724-3845
(732) 239-2435
Mailing address
160 NATICK TRL, BRICK, NJ 08724-3845
(732) 239-2435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00042100
NJ
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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