Individual
EMACULETE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Mailing address
1007 N UNION ST, LIMA, OH 45801-2942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA161690
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Enumeration date
12/21/2016
Last updated
07/12/2023
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