Individual
STEPHANIE C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19420 GOLF VISTA PLZ STE 250, LANSDOWNE, VA 20176-8267
(804) 207-6737
Mailing address
19420 GOLF VISTA PLZ STE 250, LANSDOWNE, VA 20176-8267
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003536
VA
101YP2500X
Professional Counselor
0701003536
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015512840002
—
VA
Enumeration date
09/01/2006
Last updated
11/28/2023
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