Individual provider · Type 1 NPI

Edwin Gary Smith

Peer Specialist · Redwood City, CA

NPI number 1316601123 Active

Practice location

727 Shasta St
Redwood City, CA 94063-2124

Call (650) 599-1071 Map

Mailing address

459 Oconnor St
Menlo Park, CA 94025-2668

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1316601123

Edwin Gary Smith's National Provider Identifier is 1316601123, issued on Oct 27, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Redwood City, CA. The record was last updated on Oct 27, 2021.