Individual
CARRESSA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Contact information
Practice address
541 BUTTERMILK PIKE STE 105, CRESCENT SPRINGS, KY 41017
(513) 477-3111
(859) 485-8594
Mailing address
3515 WERK RD, CINCINNATI, OH 45248-6229
(513) 477-3111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C0900048
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
071020
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1252273
CAQH
OH
Enumeration date
09/29/2010
Last updated
01/03/2019
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