| Doctor Name: | DR. STEPHEN C SMITH |
| NPI Number: | 1891876819 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., PSY.D. |
| License Number: | LPC1940 |
| Business Practice Address: | 111 E Main St Jonesborough, TN - 376591317 |
| Business Phone Number: | 4237947152 |
| Business Fax Number: | |
| Mailing Address: | 111 E Main St, JONESBOROUGH |
| State: | TN |
| Postal Code: | 376591317 |
| Phone Number: | 4237947152 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC1940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |