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Individual

SHANNON P SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, LCADC

Contact information

Practice address
281 STATE ROUTE 34 STE 202, COLTS NECK, NJ 07722-2439
(732) 852-7879
Mailing address
1761 RALEIGH CT W APT 79B, OCEAN, NJ 07712-2639
(516) 469-2988

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00418900
NJ

Other

Enumeration date
05/01/2026
Last updated
05/01/2026
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