Individual
ADAM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1400 E ANGELA BLVD UNIT 111C, SOUTH BEND, IN 46617-1367
(574) 366-2391
Mailing address
1400 E ANGELA BLVD, BOX 162, SOUTH BEND, IN 46617-1364
(574) 366-2391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003948A
IN
Other
Enumeration date
06/09/2021
Last updated
11/30/2023
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