Individual
MR. DAVE M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CPRP
Contact information
Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
Mailing address
354 CENTRAL RD, RYE, NH 03870-2526
(802) 345-5565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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