Organization
SAMUEL M. SMITH, MA, LMFT, LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL MARK SMITH MA, LMFT, LMHC (MARRIAGE & FAMILY THERAPIST)
(317) 466-9809
Entity
Organization
Contact information
Practice address
4920 COMMON VISTA CT, INDIANAPOLIS, IN 46220-5394
(317) 466-9809
(317) 466-9809
Mailing address
4920 COMMON VISTA CT, INDIANAPOLIS, IN 46220-5394
(317) 466-9809
(317) 466-9809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35001463A
IN
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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