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Ethan Smith
NPI 1609457597 · on the registry since 2021 · sole proprietor
Practice
- Address
- 420 S Landmark Ave
Bloomington, IN 47403 - Phone
- (812) 369-4333
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana