Individual
CHUCK ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 WACO DR, LONDON, KY 40741-8327
(606) 770-5161
(606) 770-5168
Mailing address
43 WACO DR, LONDON, KY 40741-8327
(606) 770-5161
(606) 770-5168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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