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Mr. Walter Kenneth Smith, PC
Mental Health Counselor in Painesville, Ohio
NPI 1073615332

Walter Kenneth Smith is a Mental Health Counselor based in Lakewood, OH and is specialized in Mental Health. Walter Kenneth Smith practices in Painesville, OH and has the professional credentials of PC. The NPI Number for Walter Kenneth Smith is 1073615332 and holds a License No. C4405 (Ohio).

The current practice location address for Walter Kenneth Smith is 57 South State Street, Painesville, OH and can be reached out via phone at 440-357-6740.

Location: 57 South State Street, Painesville, OH, 44107-5713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073615332
Provider Name
Walter Kenneth Smith
Credential
PC
Provider Entity Type
Individual
Gender
Male
Address
57 South State Street, Painesville, OH, 44107-5713
Phone Number
440-357-6740
Fax Number
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
57 South State Street
City
Painesville
State
Ohio
Zip
44077
Phone Number
440-357-6740
Fax Number
person
Provider Business Mailing Address Details
Address
57 South State Street
City
Painesville
State
Ohio
Zip
44077
Phone Number
440-357-6740
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C4405 (Ohio)
Definition
Definition to come...
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