Smith, Gene Preston

Smith, Gene Preston is an sole proprietor health care provider with primary practice located at 1045 Main St Ste.3, Danville VA 24541-1800. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Smith, Gene Preston can be contacted via phone (434) 822-6600.

Contact Information

Primary practice address
1045 Main St Ste.3 Danville VA 24541-1800
Phone: (434) 822-6600
Fax: (434) 822-6600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 560 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 560 North Carolina

Profile Details

NPI number 1104162056
LBN Legal business name Smith, Gene Preston
Credentials LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2012
Last updated Dec 21st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104162056 NPPES
North Carolina Other 561827601 TAX ID

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