Individual provider · Type 1 NPI

Mary Ellen Smith, MS

Mental Health Counselor · Philadelphia, PA

NPI number 1588724892 Active

Practice location

8220 Castor Ave
Philadelphia, PA 19152-2729

Fax (215) 745-6511

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1588724892

Mary Ellen Smith, MS's National Provider Identifier is 1588724892, issued on Dec 11, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 5, 2014.