Individual
THERESA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 NORTH ST, MIDDLETOWN, NY 10940-4704
(845) 561-1665
Mailing address
305 NORTH ST, MIDDLETOWN, NY 10940-4704
(845) 561-1665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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