Individual
MRS. ANGELA CARMELLA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC, NCC
Contact information
Practice address
9933 OLDE TOWN SQUARE, CLAYTON, NC 27528
(919) 359-9070
Mailing address
313 MILLICENT WAY, MORRISVILLE, NC 27560-7299
(919) 462-8235
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W00000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103399
—
NC
Enumeration date
03/16/2007
Last updated
07/09/2007
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