Individual
MISS MIRANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6084 ELK RD, CANFIELD, OH 44406-9730
(330) 775-9553
(330) 775-9553
Mailing address
6084 ELK RD, CANFIELD, OH 44406-9730
(330) 775-9553
(330) 775-9553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.185061
OH
175T00000X
Peer Specialist
Primary
APS.006516
OH
Other
Enumeration date
05/04/2022
Last updated
07/18/2025
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