Individual
MRS. AMY JO SMITKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC
Contact information
Practice address
185 S LIBERTY ST, POWELL, OH 43065-7619
(402) 336-3577
Mailing address
PO BOX 143, OSTRANDER, OH 43061-0143
(740) 974-7177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.131089
OH
1041C0700X
Clinical Social Worker
Primary
I.1201425
OH
Other
Enumeration date
06/23/2015
Last updated
08/17/2022
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