Individual
HARRY T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LCADC
Contact information
Practice address
2546 W LANVALE ST, BALTIMORE, MD 21216-4805
(410) 350-9729
Mailing address
2546 W LANVALE ST, BALTIMORE, MD 21216-4805
(410) 350-9729
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC1598
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC1598
ALCOHOL AND DRUG LICENSE
MD
Enumeration date
05/17/2011
Last updated
07/05/2022
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