Individual
CODI JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 W MULBERRY ST, LANCASTER, OH 43130-3014
(740) 277-7512
Mailing address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.192219
OH
175T00000X
Peer Specialist
Primary
APS.005714
OH
Other
Enumeration date
11/14/2024
Last updated
10/30/2025
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