NPI | 1093319725 |
---|---|
Other Name | NICK SMITH, LCPC, LADC, CCS |
Entity Type | Organization |
Authorized Contact | NICK SMITH Owner 207-239-5027 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2020-11-23 |
Last Update Date | 2020-12-22 |