Individual
ANTONIO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 W MARKET ST, LIMA, OH 45801-4713
(614) 642-4700
Mailing address
319 W MARKET ST, LIMA, OH 45801-4713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180750
OH
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/23/2022
Last updated
02/01/2024
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