Individual
MR. SHAWN B. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.P.C., L.C.A.D.C.
Contact information
Practice address
1401 REISTERSTOWN RD, SUITE L-2, BALTIMORE, MD 21208-6502
(410) 653-6300
(410) 653-6300
Mailing address
1401 REISTERSTOWN RD, SUITE L-2, BALTIMORE, MD 21208-6502
(410) 653-6300
(410) 653-6300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA462
MD
101YM0800X
Mental Health Counselor
Primary
LC2546
MD
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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