Individual
IAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1225 W BEAVER ST, SUITE 210, JACKSONVILLE, FL 32204-1414
(904) 712-3540
(904) 775-3570
Mailing address
1225 W BEAVER ST, SUITE 210, JACKSONVILLE, FL 32204-1414
(904) 712-3540
(904) 775-3570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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