Individual
MR. BRIAN EARL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
29 PINE ST, G B WELL HUMAN SERVICES CENTER, SOUTHBRIDGE, MA 01550-8002
(508) 765-9167
(508) 764-2462
Mailing address
29 PINE ST, G B WELL HUMAN SERVICES CENTER, SOUTHBRIDGE, MA 01550-8002
(508) 765-9167
(508) 764-2462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4844
MA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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