Individual provider · Type 1 NPI

Jonathan Smith

Mental Health Counselor · Redwood City, CA

NPI number 1073644209 Active

Practice location

541 Jefferson Ave, Suite 202
Redwood City, CA 94063-1739

Fax (650) 817-9074

Mailing address

1080 Marina Village Pkwy, Suit 100
Alameda, CA 94501-6427

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073644209

Jonathan Smith's National Provider Identifier is 1073644209, issued on Mar 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Redwood City, CA. The record was last updated on Jul 8, 2007.