Donald Smith II

Individual provider Active NPI Mental Health Counselor · Voorheesville, NY

NPI 1790591998 · NPPES record last updated Dec 4, 2024

Key facts

NPI
1790591998
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
P128076 (NY)
Practice address
265 Kings CT
Voorheesville, NY 12186-9587
Phone
(518) 801-5838
NPI assigned
Dec 4, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P128076NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P128076 NY Yes

Addresses

Primary practice location

265 Kings CT
Voorheesville, NY 12186-9587

Mailing address

265 Kings CT
Voorheesville, NY 12186-9587
Phone (518) 801-5838

Other providers in Voorheesville, NY

All providers in Voorheesville, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.