Individual
CHERYL LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
925 PAYNE AVE STE B1, SAINT PAUL, MN 55130-4282
(651) 399-6347
Mailing address
925 PAYNE AVE, SAINT PAUL, MN 55130-4281
(651) 399-6347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305226
MN
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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