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Organization
SALEM THERAPEUTICS
Active
Organization
SALEM THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVAN SMITH (CEO)
(832) 308-0764
Entity
Organization
Contact information
Practice address
9800 PAGEWOOD LN APT 2605, HOUSTON, TX 77042-5531
(832) 308-0764
Mailing address
9800 PAGEWOOD LN APT 2605, HOUSTON, TX 77042-5531
(832) 308-0764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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