Channel Smith

NPI #1184252017 in Elkhart, Indiana

Provider Information

NPI Number
1184252017
Entity Type
Individual
Name
Channel Smith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Mar 27, 2020
Last Updated
Mar 27, 2020

Practice Location

Address
1809 VISSCHER DR
State
Indiana
ZIP Code
46514-6505
Phone
(773) 491-5423

Specialties & Taxonomy Codes

Specialty
Counselor

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