Ian Kenneth Smith
Counselor, Addiction (Substance Use Disorder) in Madison, WI. Individual provider (NPI-1).
NPI number1932812617
StatusActive
Last updated in NPPESDec 28, 2022
Details
- NPI
- 1932812617
- Entity type
- Individual (NPI-1)
- Name
- Ian Kenneth Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2022
- Certification date
- Dec 28, 2022
- Last updated
- Dec 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
3113 E Washington AveMadison, WI 53704-4330
Phone 608-416-5777
Mailing address
3113 E Washington AveMadison, WI 53704-4330
Phone 608-416-5777
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All 228 Addiction (Substance Use Disorder) Counselor providers in Madison · All 16,750 providers in Madison
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