Individual provider · Type 1 NPI

Shanelle Smothers

Addiction (Substance Use Disorder) Counselor · Edgewood, MD

NPI number 1124773692 Active

Practice location

1308 Business Center Way Ste 102
Edgewood, MD 21040-1504

Mailing address

1750 Brookside Dr
Edgewood, MD 21040-1827

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2595 (MD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124773692

Shanelle Smothers's National Provider Identifier is 1124773692, issued on Feb 14, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edgewood, MD. The record was last updated on Feb 14, 2022.