Individual
AUSTIN BLAKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1621 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-3244
(270) 746-6600
Mailing address
494 HUB BLVD APT 2224, BOWLING GREEN, KY 42103-8943
(606) 304-3083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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