Doctor Name: | ERIKA SMITH |
NPI Number: | 1588842900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPCC |
License Number: | XL3270 |
Business Practice Address: | 453 Us Route 1 Kittery, ME - 039045513 |
Business Phone Number: | 2074398391 |
Business Fax Number: | |
Mailing Address: | 453 Us Route 1, KITTERY |
State: | ME |
Postal Code: | 039045513 |
Phone Number: | 2074398391 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2008 |
NPI Last Update Date: | 02/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | XL3270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |