Individual
BEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ALCHOHOL AND DRUG CO
Contact information
Practice address
3104 BLUE LAKE DR STE 100, VESTAVIA, AL 35243-2372
(205) 977-3003
(205) 977-3939
Mailing address
3104 BLUE LAKE DR STE 100, VESTAVIA, AL 35243-2372
(205) 977-3003
(205) 977-3939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC648
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADC-648
ALABAMA ALCOHOL AND DRUG ABUSE ASSOCIATION
AL
Enumeration date
05/13/2021
Last updated
05/13/2021
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