Individual
GARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 CHANNINGWAY BLVD STE 605, COLUMBUS, OH 43232-2999
(614) 626-8464
Mailing address
35 GAHL TER APT A, CINCINNATI, OH 45215-3662
(513) 401-2897
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190794
OH
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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