Individual
MS. CHARLENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
(267) 563-2705
(215) 745-6511
Mailing address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
(267) 563-2705
(215) 745-6511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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