Individual provider · Type 1 NPI
Shannon Devaughn Smith
Addiction (Substance Use Disorder) Counselor · Lakewood, OH
NPI number
1326669888
Active
Practice location
17400 Northwood Ave
Lakewood, OH 44107-2210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000332976 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1326669888
Shannon Devaughn Smith's National Provider Identifier is 1326669888, issued on May 6, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, OH. The record was last updated on May 6, 2020.