MARK SMITH

CHARLESTOWN, IN
NPI1780043182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2016-02-15
Last Update Date2016-02-15
Business Address
MARK SMITH
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686
Mailing Address
MARK SMITH
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686