National Provider Identifier Database

JOHN SMITH JR
Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.


Contact Information

JOHN SMITH JR
390 E BOUNDARY DR
SPARTANBURG, SC29303-3926
Phone: 864-603-4086
Fax:
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X
Addiction (Substance Use Disorder) 101YA0400X
Case Manager/Care Coordinator 171M00000X
Mental Health 101YM0800X
Professional 101YP2500X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for JOHN SMITH JR

NPI Number 1114464435
Credentials
Entity Individual
Enumeration date 01/24/2017
Last updated 01/24/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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