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Individual
MR. CHARLES V SMITH
Active
Individual
MR. CHARLES V SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMFT, CAP, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MAC507269 SAP13083
VA
101YM0800X
Mental Health Counselor
Primary
MH8574
FL
106H00000X
Marriage & Family Therapist
MT2433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000539300
—
FL
Enumeration date
03/13/2007
Last updated
06/21/2015
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