Individual provider · Type 1 NPI

Shawn M. Smith

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1073639167 Active

Practice location

1281 Fleming Ave
San Jose, CA 95127-3610

Mailing address

139 Carl Ave
Santa Cruz, CA 95062-1321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073639167

Shawn M. Smith's National Provider Identifier is 1073639167, issued on Mar 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.