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Mr. Dimayquoaye A Smith, LCAS,GCDF,ICAADC
Counselor in Shelby, North Carolina
NPI 1194202317

Dimayquoaye A Smith is a Counselor based in Shelby, NC. Dimayquoaye A Smith practices in Shelby, NC and has the professional credentials of LCAS,GCDF,ICAADC. The NPI Number for Dimayquoaye A Smith is 1194202317 and holds a License No. 20651 (North Carolina).

The current practice location address for Dimayquoaye A Smith is 501 N Lafayette St Ste B, Shelby, NC and can be reached out via phone at 704-284-9440.

Location: 501 N Lafayette St Ste B, Shelby, NC, 28150-4602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194202317
Provider Name
Dimayquoaye A Smith
Credential
LCAS,GCDF,ICAADC
Provider Entity Type
Individual
Gender
Male
Address
501 N Lafayette St Ste B, Shelby, NC, 28150-4602
Phone Number
704-284-9440
Fax Number
Provider Enumeration Date
07/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 N Lafayette St Ste B
City
Shelby
State
North Carolina
Zip
28150-4477
Phone Number
704-284-9440
Fax Number
person
Provider Business Mailing Address Details
Address
501 N Lafayette St Ste B
City
Shelby
State
North Carolina
Zip
28150-4477
Phone Number
704-284-9440
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
14447 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
20651 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
20651 (North Carolina)
Definition
Definition to come...
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