Individual
DANIEL T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW, LICDC
Contact information
Practice address
901 TUSCARAWAS ST E, CANTON, OH 44707-3152
(330) 205-9515
(330) 754-6253
Mailing address
901 TUSCARAWAS ST E, CANTON, OH 44707-3152
(330) 205-9515
(330) 754-6253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.141762
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC162119
OH
104100000X
Social Worker
S.1904462
OH
1041C0700X
Clinical Social Worker
Primary
I.2204169
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0375118
—
OH
Enumeration date
02/27/2017
Last updated
01/20/2023
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