Individual
MR. BRYAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.M.H.C.
Contact information
Practice address
25 CANTERBURY RD, WOBURN, MA 01801-5901
(973) 713-9217
Mailing address
25 CANTERBURY RD, WOBURN, MA 01801-5901
(973) 713-9217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
10023
MA
Other
Enumeration date
08/26/2013
Last updated
09/30/2020
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