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Individual

MR. CHAYZEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LMHC, LCAC

Contact information

Practice address
2345 S LYNHURST DR, INDIANAPOLIS, IN 46241-8630
(317) 247-8900
(317) 272-0807
Mailing address
PO BOX 487, RICHMOND, IN 47375-0487
(765) 983-8000
(765) 983-8609

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001182A
IN
101YM0800X
Mental Health Counselor
Primary
39001721A
IN

Other

Enumeration date
10/16/2006
Last updated
10/26/2012
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