Individual provider · Type 1 NPI

Mary Smyth, LAC

Professional Counselor · Glassboro, NJ

NPI number 1750762332 Active

Practice location

42 Delsea Dr S
Glassboro, NJ 08028-2621

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37AC00198300 (NJ)

Professional Counselor: Definition to come...

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About NPI 1750762332

Mary Smyth, LAC's National Provider Identifier is 1750762332, issued on Jun 9, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glassboro, NJ. The record was last updated on Jul 13, 2016.