Individual
JONATHAN C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC-C
Contact information
Practice address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
(207) 941-2952
Mailing address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3760
ME
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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