Individual
DORIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.C.
Contact information
Practice address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9148
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
E.0001317-SUPV
OH
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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