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Individual

MR. KEVIN J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LGPC, CAC-AD, M.S.

Contact information

Practice address
400 REDLAND CT, OWINGS MILLS, MD 21117-3290
(410) 701-2456
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC2199
MD
101YP2500X
Professional Counselor
Primary
LGP13493
MD

Other

Enumeration date
01/12/2022
Last updated
09/15/2023
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