Individual
MRS. CYNTHIA JOHNSONSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC LCDCIII
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6590
(614) 875-7843
Mailing address
1889 DANDRIDGE DR, COLUMBUS, OH 43229-5717
(614) 539-6590
(614) 875-7843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101210
OH
101YP2500X
Professional Counselor
Primary
E.0008349-SUPV
OH
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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