person
Susan C Smith, LCDC
Addiction (Substance Use Disorder) Counselor in Fort Worth, Texas
NPI 1073784898

Susan C Smith is an Addiction (Substance Use Disorder) Counselor based in Fort Worth, TX and is specialized in Addiction (Substance Use Disorder). Susan C Smith practices in Fort Worth, TX and has the professional credentials of LCDC. The NPI Number for Susan C Smith is 1073784898 and holds a License No. 5881 (Texas).

The current practice location address for Susan C Smith is 3840 Hulen St, Fort Worth, TX and can be reached out via phone at 817-569-4396 and via fax at 817-569-4517. You can also correspond with Susan C Smith through the mailing address at PO BOX 2603, FORT WORTH, TX - 76113-2603 (mailing address contact number: 817-569-4396).

Location: 3840 Hulen St, Fort Worth, TX, 76113-2603
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Provider Profile Details
NPI Number
1073784898
Provider Name
Susan C Smith
Credential
LCDC
Provider Entity Type
Individual
Gender
Female
Address
3840 Hulen St, Fort Worth, TX, 76113-2603
Phone Number
817-569-4396
Fax Number
817-569-4517
Provider Enumeration Date
03/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8719BH 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
3840 Hulen St
City
State
Zip
76107-7277
Phone Number
817-569-4396
Fax Number
817-569-4517
person
Provider Business Mailing Address Details
Address
Po Box 2603
City
State
Zip
76113-2603
Phone Number
817-569-4396
Fax Number
817-569-4517
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5881 (Texas)
Definition
Definition to come...
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