Most Relevant Information
Provider Data
| NPI Number: | 1003542507 |
| Provider Name: | CHARLENE SMITH MHS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/27/2022 |
| Last Updated: | 07/27/2022 |
Provider Practice Location
1919 COTTMAN AVE
PHILADELPHIA
PA
191113816
Practice Location Phone/Fax
| Phone: | 2675632705 |
| Fax: | 2157456511 |
Provider Mailing Location
1919 COTTMAN AVE
PHILADELPHIA
PA
191113816
Provider Mailing Phone/Fax
| Phone: | 2675632705 |
| Fax: | 2157456511 |