Individual provider · Type 1 NPI

Domeiqua D. Smoot

Counselor · Rancho Cucamonga, CA

NPI number 1003147398 Active

Practice location

9500 Haven Ave, 100
Rancho Cucamonga, CA 91730-5807

Call (909) 980-6700 Map

Fax (909) 980-6003

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003147398

Domeiqua D. Smoot's National Provider Identifier is 1003147398, issued on Jan 26, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 26, 2013.