MR. Walter John Smith, LADC 1
NPI #1972736338 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1972736338
- Entity Type
- Individual
- Name
- MR. Walter John Smith, LADC 1
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC 1
- Enumeration Date
- Sep 1, 2009
- Last Updated
- Sep 1, 2009
Practice Location
- Address
- 435 WARREN ST
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-1833
- Phone
- (617) 541-3670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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