| Doctor Name: | DR. CAROL YVONNE SMITH |
| NPI Number: | 1326044546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, PHD, MS, LICSW, |
| License Number: | 12946 |
| Business Practice Address: | 1107 Seven Lakes Drive Seven Lakes, NC - 273760000 |
| Business Phone Number: | 9107782427 |
| Business Fax Number: | 9106735775 |
| Mailing Address: | Po Box 4, JACKSON SPRINGS |
| State: | NC |
| Postal Code: | 272810004 |
| Phone Number: | 4149759908 |
| Fax Number: | 9106735775 |
| NPI Enumeration Date: | 06/22/2005 |
| NPI Last Update Date: | 03/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 12946 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |