Ethan Smith
Ethan Smith is a Mental Health Counselor in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2021
Practice location Address checks out
420 S Landmark AveBloomington, IN 47403-5000
Phone: (812) 369-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 39003923A (IN) |
|---|
Record details
| NPI number | 1609457597 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2021 |
| Last updated in NPPES | July 29, 2022 |
| Certification date | July 29, 2022 |
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