Individual provider · Type 1 NPI

Kenyetta Smith

Professional Counselor · Philadelphia, PA

NPI number 1760102164 Active

Practice location

1800 John F Kennedy Blvd Ste 1404
Philadelphia, PA 19103-7417

Call (855) 284-7483 Map

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1760102164

Kenyetta Smith's National Provider Identifier is 1760102164, issued on Aug 29, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 29, 2022.