Smith, Charles R

Smith, Charles R is an sole proprietor health care provider with primary practice located at 2909 Washington Blvd Ste 101 , Ogden UT 84401-3773. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, Charles R can be contacted via phone (888) 801-1556.

Contact Information

Primary practice address
2909 Washington Blvd Ste 101 Ogden UT 84401-3773
Phone: (888) 801-1556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X 7971378-6004 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7971378-6004 Utah

Profile Details

NPI number 1053538975
LBN Legal business name Smith, Charles R
Credentials C.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Dec 24th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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