Individual
CHARLES RUSSELL SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 DUNN RD, ASHBURNHAM, MA 01430-3043
(978) 502-9499
Mailing address
152 DUNN RD, ASHBURNHAM, MA 01430-3043
(978) 502-9499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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