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NPI Code Detail

MEDICARE: JAMES LESLIE SMITH D.MIN.

MEDICARE: JAMES LESLIE SMITH D.MIN.
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) Counselor923214OH
2101YP1600XPastoral Counselor3423
3101YP2500XProfessional CounselorE0003157OH

General Provider Information

NPI Number : 1083758692
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES LESLIE SMITH D.MIN.
Provider Business Mailing Address
First Line : 1115 BETHEL RD
Second Line : 1ST FLOOR
City : COLUMBUS
State : OH
Zip : 43220-2690
Country : US
Telephone Number : 614-538-0353
Fax Number : 614-586-1879
Provider Business Practice Location Address
First Line : 1115 BETHEL RD
Second Line : 1ST FLOOR
City : COLUMBUS
State : OH
Zip : 43220-2690
Country : US
Telephone Number : 614-538-0353
Fax Number : 614-586-1879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 09/11/2025

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