Individual
BRYAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
3203 PINE VALLEY WAY, EAST STROUDSBURG, PA 18302-6706
(551) 404-7340
Mailing address
3203 PINE VALLEY WAY, EAST STROUDSBURG, PA 18302-6706
(551) 404-7340
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00155600
NJ
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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