Individual provider · Type 1 NPI

Bonnie Elizabeth Smith, LCSW, LCACA

Mental Health Counselor · Fort Wayne, IN

NPI number 1336088244 Active

Practice location

4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X34012776A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1336088244

Bonnie Elizabeth Smith, LCSW, LCACA's National Provider Identifier is 1336088244, issued on Mar 26, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 26, 2026.