Individual provider · Type 1 NPI
Charles Smith, LPC, LAC
Addiction (Substance Use Disorder) Counselor · Fort Polk, LA
NPI number
1215035894
Active
Practice location
1585 3rd St, Bjach
Fort Polk, LA 71459-5102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 641 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1215035894
Charles Smith, LPC, LAC's National Provider Identifier is 1215035894, issued on Sep 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Polk, LA. The record was last updated on Jul 8, 2007.