Organization · Type 2 NPI

Jacquline Smythe

Community/Behavioral Health Agency · Lakeport, CA

NPI number 1023319241 Active

Practice location

55 1st St # 302
Lakeport, CA 95453-4839

Call (707) 349-2586 Map

Fax (707) 263-4662

Mailing address

3542 Crestwood Dr
Kelseyville, CA 95451-8602

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XMFT43231 (CA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1023319241

Jacquline Smythe's National Provider Identifier is 1023319241, issued on Nov 4, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lakeport, CA. The record was last updated on Nov 4, 2010.