Individual
MR. CHARLES V SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMFT, CAP, NCC
Contact information
Practice address
417 4TH AVE SW, LARGO, FL 33770-3413
(727) 641-8939
(727) 585-9647
Mailing address
417 4TH AVE SW, LARGO, FL 33770-3413
(727) 641-8939
(727) 585-9647
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MAC507269 SAP13083
VA
101YM0800X
Mental Health Counselor
Primary
MH8574
FL
106H00000X
Marriage & Family Therapist
MT2433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000539300
—
FL
Enumeration date
03/13/2007
Last updated
06/21/2015
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