Individual provider · Type 1 NPI
Nicole Leeann Smith
Addiction (Substance Use Disorder) Counselor · Coloma, CA
NPI number
1336496801
Active
Practice location
838 Beach Ct.
Coloma, CA 95613-0437
Mailing address
PO Box 143
Diamond Springs, CA 95619-0143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CAS R 10652 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336496801
Nicole Leeann Smith's National Provider Identifier is 1336496801, issued on Aug 14, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coloma, CA. The record was last updated on Aug 14, 2012.