person
Jonathan W Smith
Mental Health Counselor in Clemmons, North Carolina
NPI 1952174740

Jonathan W Smith is a Mental Health Counselor based in Winston Salem, NC and is specialized in Mental Health. Jonathan W Smith practices in Clemmons, NC. The NPI Number for Jonathan W Smith is 1952174740 and holds a License No. A19048 (North Carolina).

The current practice location address for Jonathan W Smith is 3540 Clemmons Rd Ste 70, Clemmons, NC and can be reached out via phone at 336-303-8642.

Location: 3540 Clemmons Rd Ste 70, Clemmons, NC, 27103-4206
person
Provider Profile Details
NPI Number
1952174740
Provider Name
Jonathan W Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
3540 Clemmons Rd Ste 70, Clemmons, NC, 27103-4206
Phone Number
336-303-8642
Fax Number
Provider Enumeration Date
11/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3540 Clemmons Rd Ste 70
City
State
Zip
27012-9394
Phone Number
336-303-8642
Fax Number
person
Provider Business Mailing Address Details
Address
3540 Clemmons Rd Ste 70
City
State
Zip
27012-9394
Phone Number
336-303-8642
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
A19048 (North Carolina)
Definition
Definition to come...
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