Individual
JENNIFER SUSANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC, LICDC
Contact information
Practice address
3454 OAK ALLEY CT, SUITE 404, TOLEDO, OH 43606-1306
(419) 531-3337
(419) 531-3302
Mailing address
2611 SCOTTWOOD AVE, TOLEDO, OH 43610-1324
(419) 509-6592
(419) 244-5794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0004340
OH
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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