Individual provider · Type 1 NPI
Stephen Smith
Counselor · Penngrove, CA
NPI number
1043628829
Active
Practice location
520 Orchard Ln
Penngrove, CA 94951-9659
Mailing address
365 Kuck Ln
Petaluma, CA 94952-9606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.
About NPI 1043628829
Stephen Smith's National Provider Identifier is 1043628829, issued on Jul 24, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Penngrove, CA. The record was last updated on Jul 24, 2014.