person
Michael Dorian Smith, PHD
Professional Counselor in Richmond, Virginia
NPI 1124073853

Michael Dorian Smith is a Professional Counselor based in Richmond, VA and is specialized in Professional. Michael Dorian Smith practices in Richmond, VA and has the professional credentials of PHD. The NPI Number for Michael Dorian Smith is 1124073853 and holds a License No. 0701000583 (Virginia).

The current practice location address for Michael Dorian Smith is 1241 Mall Dr, Richmond, VA and can be reached out via phone at 804-794-8828.

Location: 1241 Mall Dr, Richmond, VA, 23235-4737
person
Provider Profile Details
NPI Number
1124073853
Provider Name
Michael Dorian Smith
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1241 Mall Dr, Richmond, VA, 23235-4737
Phone Number
804-794-8828
Fax Number
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
084256 01 VA SENTARA
082305 01 VA ANTHEM BCBS OF VIRGINIA
005407036 05 VA
87647 01 MN CIGNA
institution
Provider Business Practice Location Address Details
Address
1241 Mall Dr
City
State
Zip
23235-4737
Phone Number
804-794-8828
Fax Number
person
Provider Business Mailing Address Details
Address
1241 Mall Dr
City
State
Zip
23235-4737
Phone Number
804-794-8828
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701000583 (Virginia)
Definition
Definition to come...
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