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NPI Code Detail

MEDICARE: ASHLEY SMITH

MEDICARE:   ASHLEY  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 : 1346819760
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SMITH
Provider Business Mailing Address
First Line : 1730 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1730 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1862
Country : US
Telephone Number : 614-604-8573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2021
Last Update Date : 06/21/2021

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Directions to “ ASHLEY SMITH ” Practice Location

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