person
John Bradley Smith, PCC
Mental Health Counselor in Defiance, Ohio
NPI 1477667046

John Bradley Smith is a Mental Health Counselor based in Toledo, OH and is specialized in Mental Health. John Bradley Smith practices in Defiance, OH and has the professional credentials of PCC. The NPI Number for John Bradley Smith is 1477667046 and holds a License No. E0003984 (Ohio).

The current practice location address for John Bradley Smith is 6825 N State Route 66, Defiance, OH and can be reached out via phone at 419-782-4196.

Location: 6825 N State Route 66, Defiance, OH, 43623-0970
person
Provider Profile Details
NPI Number
1477667046
Provider Name
John Bradley Smith
Credential
PCC
Provider Entity Type
Individual
Gender
Male
Address
6825 N State Route 66, Defiance, OH, 43623-0970
Phone Number
419-782-4196
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366526782 05 OH
institution
Provider Business Practice Location Address Details
Address
6825 N State Route 66
City
State
Zip
43512-6730
Phone Number
419-782-4196
Fax Number
person
Provider Business Mailing Address Details
Address
6825 N State Route 66
City
State
Zip
43512-6730
Phone Number
419-782-4196
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E0003984 (Ohio)
Definition
Definition to come...
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