Individual provider · Type 1 NPI

Issha Smith

Mental Health Counselor · Fairport, NY

NPI number 1043727654 Active

Practice location

41 Oconnor Rd
Fairport, NY 14450-1327

Call (585) 383-6465 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X007516-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1043727654

Issha Smith's National Provider Identifier is 1043727654, issued on Jan 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairport, NY. The record was last updated on Jan 4, 2018.