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NPI Code Detail

MEDICARE: ASHLEE NICHOLE SMITH

MEDICARE: ASHLEE NICHOLE SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1679247373
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEE NICHOLE SMITH
Provider Business Mailing Address
First Line : 827 N MAIN ST
Second Line :
City : MARION
State : OH
Zip : 43302-1736
Country : US
Telephone Number : 740-914-5000
Fax Number : 740-914-5005
Provider Business Practice Location Address
First Line : 827 N MAIN ST
Second Line :
City : MARION
State : OH
Zip : 43302-1736
Country : US
Telephone Number : 740-914-5000
Fax Number : 740-914-5005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2021
Last Update Date : 06/02/2026

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Directions to “ ASHLEE NICHOLE SMITH ” Practice Location

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