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Richard Smith, CDCA.183345

Counselor, Addiction (Substance Use Disorder) in Ironton, OH. Individual provider (NPI-1).

NPI number1710693486
StatusActive
Last updated in NPPESJan 26, 2023

Details

NPI
1710693486
Entity type
Individual (NPI-1)
Name
Richard Smith
Credential
CDCA.183345
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 26, 2023
Certification date
Jan 26, 2023
Last updated
Jan 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)183345OHYes
171M00000X Case Manager/Care Coordinator–OH

Practice location

117 N 4th St
Ironton, OH 45638-1403

Phone 740-237-4981 · Fax 877-325-2861

Mailing address

117 N 4th St
Ironton, OH 45638-1403

Phone 740-237-4981 · Fax 877-325-2861

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