Individual
LISA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 VIRGINIA AVE, MARTINSVILLE, VA 24112-8490
(419) 580-1305
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(276) 252-3700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102358
VA
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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