Individual
CHERYL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3440 OFFICE PARK DR, KETTERING, OH 45439-2214
(937) 586-7725
Mailing address
3440 OFFICE PARK DR, KETTERING, OH 45439-2214
(937) 586-7725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
991813
OH
163W00000X
Registered Nurse
RN.210744
OH
Other
Enumeration date
01/14/2020
Last updated
06/29/2023
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