Charity Rae Josie Smith, LPC
Counselor, Professional in Phoenix, AZ. Individual provider (NPI-1).
NPI number1437683059
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1437683059
- Entity type
- Individual (NPI-1)
- Name
- Charity Rae Josie Smith
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2017
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC-22439 | AZ | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YP2500X | Counselor, Professional | LAC-18947 | AZ |
Practice location
3033 N Central Ave Ste 700Phoenix, AZ 85012-2806
Phone 602-230-7373 · Fax 602-257-8029
Mailing address
3101 N Central Ave Ste 500Phoenix, AZ 85012-2639
Phone 602-230-7373
Other practice locations
4425 E Agave Rd Ste 19
Phoenix, AZ 85044-0619
Phoenix, AZ 85044-0619
Phone 613-127-6296
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