Male or Other

Mr. Gregory R. Smith

Professional Counselor in Fort Mitchell, AL(View on Map)

Full Name

Mr. Gregory Roy Smith

NPI Number

1376012740

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/15/2018

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

ALC04348

Contact
Information

Purpose

Mailing
Location

Address

19 HONOR DR
19 HONOR DR

City

Fort Mitchell
Fort Mitchell

State

AL
AL

Postal Code

36856-2815
36856-2815

Country

US
US

Telephone Number

(762) 261-1090
(762) 261-1090

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/01/2023

Provider Address

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