Individual
BRANDON SCOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
4747 MONROE ST, TOLEDO, OH 43623-4307
(419) 740-5709
Mailing address
2823 CHERRY ST, TOLEDO, OH 43608-1713
(419) 860-4570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168631
OH
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324879
—
OH
Enumeration date
11/19/2018
Last updated
09/10/2021
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