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Dr. Jerry Howard Smith JR., MAC,LPC,LCAS,CCS
Professional Counselor in Bladenboro, North Carolina
NPI 1578651261

Jerry Howard Smith JR. is a Professional Counselor based in Leland, NC and is specialized in Professional. Jerry Howard Smith JR. practices in Bladenboro, NC and has the professional credentials of MAC,LPC,LCAS,CCS. The NPI Number for Jerry Howard Smith JR. is 1578651261 and holds a License No. 5146 (North Carolina).

The current practice location address for Jerry Howard Smith JR. is 818 S Main St, Bladenboro, NC and can be reached out via phone at 910-863-4000.

Location: 818 S Main St, Bladenboro, NC, 28451-9619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578651261
Provider Name
Jerry Howard Smith JR.
Credential
MAC,LPC,LCAS,CCS
Provider Entity Type
Individual
Gender
Male
Address
818 S Main St, Bladenboro, NC, 28451-9619
Phone Number
910-863-4000
Fax Number
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6103024 05 NC
institution
Provider Business Practice Location Address Details
Address
818 S Main St
City
Bladenboro
State
North Carolina
Zip
28320-5970
Phone Number
910-863-4000
Fax Number
person
Provider Business Mailing Address Details
Address
818 S Main St
City
Bladenboro
State
North Carolina
Zip
28320-5970
Phone Number
910-863-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5146 (North Carolina)
Definition
Definition to come...
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