Individual
CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2206 EXECUTIVE PARK DR, OPELIKA, AL 36801-6062
(334) 329-9930
(334) 363-0740
Mailing address
2006 EXECUTIVE PARK DR, OPELIKA, AL 36801-6074
(334) 329-9930
(334) 363-0740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
259
AL
Other
Enumeration date
08/03/2005
Last updated
10/07/2024
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