Individual
JENNIFER SMALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LICDC
Contact information
Practice address
100 SUPERIOR ST, NEWTON FALLS, OH 44444-1745
(330) 953-0243
Mailing address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
(330) 953-0243
(330) 369-1595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162662
OH
104100000X
Social Worker
Primary
S.2410686
OH
Other
Enumeration date
10/23/2019
Last updated
07/09/2024
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