Individual
JOSHUA SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E LONG ST, COLUMBUS, OH 43203-1846
(614) 340-6700
Mailing address
1105 SCHROCK RD STE 400, COLUMBUS, OH 43229-1174
(614) 987-5620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.169941
OH
101YP2500X
Professional Counselor
C.1901539-TRNE
OH
101YP2500X
Professional Counselor
Primary
C.2002421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354616
—
OH
Enumeration date
06/17/2019
Last updated
05/06/2022
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