Individual
MELISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 W MAIN ST, SEVILLE, OH 44273-9576
(330) 227-6229
Mailing address
13 W MAIN ST, SEVILLE, OH 44273-9576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.2203011
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS23754
NC
101YP2500X
Professional Counselor
0704006752
VA
Other
Enumeration date
03/06/2020
Last updated
05/20/2025
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