Individual
ANDREW JAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
619 WASHINGTON AVE, TERRE HAUTE, IN 47802-1128
(812) 917-5006
Mailing address
226 MONTEREY AVE, TERRE HAUTE, IN 47803-2116
(410) 599-4225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000420A
IN
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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