Individual
CODY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
(330) 544-9379
Mailing address
440 IDAHO AVE, GIRARD, OH 44420-3045
(330) 953-7674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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