Individual provider · Type 1 NPI

Charlie Smith

Addiction (Substance Use Disorder) Counselor · Desert Hot Springs, CA

NPI number 1386186310 Active

Practice location

12890 Quinta Way
Desert Hot Springs, CA 92240-4852

Mailing address

66681 San Diego Dr
Desert Hot Springs, CA 92240-2540

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 1386186310

Charlie Smith's National Provider Identifier is 1386186310, issued on Nov 8, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Desert Hot Springs, CA. The record was last updated on Feb 9, 2017.