National Provider Identifier
Issha Smith
Issha Smith is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Fairport, NY and a listed phone number of (585) 383-6465.
Profile Overview
- NPI
- 1043727654
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 04, 2018
- Last Updated
- January 04, 2018
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 383-6465
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1043727654
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Issha
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 383-6465
- Enumeration Date
- January 04, 2018
- Last Updated
- January 04, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)