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Individual

ELEEA DANNELLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
1509 COAL RUN RD., ZANESVILLE, OH 43701
(740) 297-4417
Mailing address
6414 BAKER ST, CROOKSVILLE, OH 43731-9422
(740) 823-1582

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180027
OH
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
01/11/2022
Last updated
07/27/2022
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