Lawrence Smith JR., LICDC, LSW

NPI #1578006771 in Perry, Ohio

Provider Information

NPI Number: 1578006771
Entity Type: Individual
Name: Lawrence Smith JR., LICDC, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LICDC, LSW
Enumeration Date: Nov 21, 2016
Last Updated: Nov 22, 2016

Practice Location

Address: 4194 S RIDGE RD
City: Perry
State: Ohio
ZIP Code: 44081-9648
Phone: (440) 259-8253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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