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Corey Dixon Smith, CPRS
Peer Specialist in Baltimore, Maryland
NPI 1841907474

Corey Dixon Smith is a Peer Specialist based in Baltimore, MD. Corey Dixon Smith practices in Baltimore, MD and has the professional credentials of CPRS. The NPI Number for Corey Dixon Smith is 1841907474 and holds a License No. PR0591 (Maryland).

The current practice location address for Corey Dixon Smith is 14 S Broadway, Baltimore, MD and can be reached out via phone at 410-276-1773 and via fax at 410-276-2056.

Location: 14 S Broadway, Baltimore, MD, 21231-1712
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Provider Profile Details
NPI Number
1841907474
Provider Name
Corey Dixon Smith
Credential
CPRS
Provider Entity Type
Individual
Gender
Male
Address
14 S Broadway, Baltimore, MD, 21231-1712
Phone Number
410-276-1773
Fax Number
410-276-2056
Provider Enumeration Date
11/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PR0591 01 MD CPRS
institution
Provider Business Practice Location Address Details
Address
14 S Broadway
City
State
Zip
21231-1712
Phone Number
410-276-1773
Fax Number
410-276-2056
person
Provider Business Mailing Address Details
Address
14 S Broadway
City
State
Zip
21231-1712
Phone Number
410-276-1773
Fax Number
410-276-2056
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
PR0591 (Maryland)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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