Individual
MS. CORETHA DENISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED ADDICTION
Contact information
Practice address
136 SOUTH MAIN STREET, BELLE GLADE, FL 33430
(561) 996-0500
(561) 992-8333
Mailing address
PO BOX 1465, 136 SOUTH MAIN STREET, BELLE GLADE, FL 33430
(561) 996-0500
(561) 992-8333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0025
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
007
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5030
FL
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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