Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YS0200X | School Counselor | ||
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1285390849 |
---|---|
Provider Name | Vondella Mokeyia Smith-Richardson |
First Address | Orangeburg, SC 29118-4004 |
Second Address | Orangeburg, SC 29118-2042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2021 |
Last Update Date | 09/11/2021 |