Individual provider · Type 1 NPI

Gary James Smith, CADC II, ICADC

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

NPI number 1083257323 Active

Practice location

416 2nd Ave
San Mateo, CA 94401-3205

Mailing address

2600 S El Camino Real Ste 200
San Mateo, CA 94403-2382

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA021151115 (CA)

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

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About NPI 1083257323

Gary James Smith, CADC II, ICADC's National Provider Identifier is 1083257323, issued on Oct 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Oct 18, 2019.