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Individual
MR. EDDIE ANSENIO LEE SMITH
Active
Individual
MR. EDDIE ANSENIO LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC/PEER SUPPORT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-33116
NC
175T00000X
Peer Specialist
2024-12357-01
NC
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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