Individual provider · Type 1 NPI

Jackie Smith Jr.

Addiction (Substance Use Disorder) Counselor · Brentwood, CA

NPI number 1154543866 Active

Practice location

9100 Brentwood Blvd
Brentwood, CA 94513-4000

Call (925) 809-7920 Map

Fax (925) 809-7928

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 1154543866

Jackie Smith Jr.'s National Provider Identifier is 1154543866, issued on May 3, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brentwood, CA. The record was last updated on Feb 5, 2008.