Individual
MR. CONOR O'BRIEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S 40TH ST SUITE 201B, PHILADELPHIA, PA 19104-1419
(267) 440-7066
Mailing address
1010 S 46TH ST FLOOR 1, PHILADELPHIA, PA 19143-3778
(717) 517-6580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015853
PA
Other
Enumeration date
09/17/2018
Last updated
07/31/2023
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