Individual
CHARLES R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.H.C.
Contact information
Practice address
2909 WASHINGTON BLVD STE 101, OGDEN, UT 84401-3773
(888) 801-1556
Mailing address
PO BOX 6332, OGDEN, UT 84402-6332
(888) 801-1556
(877) 544-4630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7971378-6004
UT
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
7971378-6004
UT
Other
Enumeration date
04/20/2007
Last updated
12/24/2018
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