Provider Demographics
NPI:1508261488
Name:SMITH, SONYA CAMILLE (MA, LPC, CDCI)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:CAMILLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LPC, CDCI
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:
Other - Last Name:LEWIS-JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2211 ARCA DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3462
Mailing Address - Country:US
Mailing Address - Phone:907-777-0188
Mailing Address - Fax:907-272-2161
Practice Address - Street 1:2211 ARCA DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3462
Practice Address - Country:US
Practice Address - Phone:907-777-0188
Practice Address - Fax:907-272-2161
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4498101YA0400X
AK205224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)