Jonathan Smith
Counselor, Addiction (Substance Use Disorder) in Columbus, OH. Individual provider (NPI-1).
NPI number1679005698
StatusActive
Last updated in NPPESMar 29, 2017
Details
- NPI
- 1679005698
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Smith
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2017
- Last updated
- Mar 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA. 160767 | OH | Yes |
Practice location
360 Grant AveColumbus, OH 43209
Phone 614-439-7266
Mailing address
360 S Grant AveColumbus, OH 43215-5537
Phone 614-439-7266
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