| Doctor Name: | GARY CHARLES SMITH |
| NPI Number: | 1053528679 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.A. |
| License Number: | |
| Business Practice Address: | 1101 E Monroe Ave Mcalester, OK - 745014815 |
| Business Phone Number: | 9184267800 |
| Business Fax Number: | |
| Mailing Address: | 11 W Apache Ave, MCALESTER |
| State: | OK |
| Postal Code: | 745015708 |
| Phone Number: | 9184291932 |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 08/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |