Individual
CHARLES KALUB SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA, QBHS
Contact information
Practice address
580 RICE DRIVE, WEST UNION, OH 45693
(937) 544-5547
(937) 544-3035
Mailing address
923 SUNRISE AVE, WEST UNION, OH 45693-1143
(937) 544-5547
(937) 544-3035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188127
OH
101YM0800X
Mental Health Counselor
QBHS
OH
251B00000X
Case Management Agency
QBHS
OH
Other
Enumeration date
08/21/2023
Last updated
05/23/2024
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