| John Bradley Smith, PCC | |
|
6825 N State Route 66, Defiance, OH 43512-6730 | |
| (419) 782-4196 | |
| Not Available |
| Full Name | John Bradley Smith |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 6825 N State Route 66, Defiance, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477667046 | NPI | - | NPPES |
| 1366526782 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E0003984 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Bradley Smith, PCC Po Box 8970, Toledo, OH 43623-0970 Ph: (419) 782-4196 | John Bradley Smith, PCC 6825 N State Route 66, Defiance, OH 43512-6730 Ph: (419) 782-4196 |
Kymberly Whitenburg, Counselor Medicare: Medicare Enrolled Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-785-3800 | |
Amy L Slattery, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 Fax: 419-784-4506 | |
Alycia Bany, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 | |
Thelma E Esterline, CT Counselor Medicare: Medicare Enrolled Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 Fax: 419-784-4506 | |
Linda K Schlachter Mcdonald, SWA, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 Fax: 419-784-2523 | |
Mattea Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 | |
Alexis Sinn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 |