Individual provider · Type 1 NPI

Misty Renee Smith

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

NPI number 1225864382 Active

Practice location

1115 N D St
San Bernardino, CA 92410-3523

Call (909) 888-6956 Map

Fax (909) 521-7113

Mailing address

1100 N D St
San Bernardino, CA 92410-3524

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 1225864382

Misty Renee Smith's National Provider Identifier is 1225864382, issued on Sep 13, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on May 12, 2025.