Individual provider · Type 1 NPI
Ethan Smith
Mental Health Counselor · Bloomington, IN
NPI number
1609457597
Active
Practice location
420 S Landmark Ave
Bloomington, IN 47403-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39003923A (IN) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1609457597
Ethan Smith's National Provider Identifier is 1609457597, issued on Apr 21, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IN. The record was last updated on Jul 29, 2022.