Individual provider · Type 1 NPI
Kim Smith
Professional Counselor · Fairfax, VA
NPI number
1780116483
Active
Practice location
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LC6448 (MD) |
| Professional Counselor Primary | 101YP2500X | 0701004461 (VA) |
Professional Counselor: Definition to come...
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About NPI 1780116483
Kim Smith's National Provider Identifier is 1780116483, issued on Mar 31, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Dec 18, 2023.