Individual provider · Type 1 NPI

Jewell Juanita Smith

Professional Counselor · Fairfield, CA

NPI number 1407160872 Active

Practice location

2480 Hilborn Road, Suite 101
Fairfield, CA 94534-1857

Mailing address

57 Kohanza St
Danbury, CT 06811-4406

Other practice locations

  • 253 Mansion St, Poughkeepsie, NY 12601-2623 · (845) 473-2500
  • 3 Neptune Rd Ste A19B, Poughkeepsie, NY 12601-5569 · (845) 462-2619

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800X015087 (NY)
Professional Counselor Primary 101YP2500X007842 (CT)

Professional Counselor: Definition to come...

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About NPI 1407160872

Jewell Juanita Smith's National Provider Identifier is 1407160872, issued on Jul 28, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfield, CA. The record was last updated on Aug 19, 2025.