Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 86000127A | IN |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 87000653A | IN |
N | 101YM0800X | Mental Health Counselor | 002224 | NY |
N | 101YM0800X | Mental Health Counselor | 39000509A | IN |
Y | 101YP1600X | Pastoral Counselor | ||
N | 103TP2701X | Group Psychotherapist | ||
N | 174V00000X | Clinical Ethicist |
NPI | 1023226925 |
---|---|
Provider Name | Christopher L Smith |
First Address | Harrison, NY 10528-0685 |
Second Address | New York, NY 10016-1723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 17/03/2018 |