| Doctor Name: | MOLLY A SMITH |
| NPI Number: | 1265406938 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | E0004103 |
| Business Practice Address: | 118 Maple Ave Bellefontaine, OH - 43311 |
| Business Phone Number: | 9375991975 |
| Business Fax Number: | 9375992769 |
| Mailing Address: | Po Box 817, WEST LIBERTY |
| State: | OH |
| Postal Code: | 433570817 |
| Phone Number: | 9374658065 |
| Fax Number: | 9374650442 |
| NPI Enumeration Date: | 02/17/2006 |
| NPI Last Update Date: | 10/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E0004103 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |