Autumn Marie Smith
Counselor, Professional in Marietta, OH. Individual provider (NPI-1).
NPI number1316619554
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1316619554
- Entity type
- Individual (NPI-1)
- Name
- Autumn Marie Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2021
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C.2103791 | OH | Yes |
Practice location
207d Colegate DrMarietta, OH 45750-2363
Phone 740-376-0930 · Fax 740-376-0933
Mailing address
207d Colegate DrMarietta, OH 45750-2363
Phone 740-376-0930 · Fax 740-376-0933
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