Individual provider · Type 1 NPI
Faison Heathman Smith Iv, LCDC, ADCIII
Addiction (Substance Use Disorder) Counselor · Mcallen, TX
NPI number
1407990351
Active
Practice location
801 W Nolana Ave, Suite 101
Mcallen, TX 78504-3034
Fax (956) 994-1487
Mailing address
3216 Swallow Ave
Mcallen, TX 78504-4925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1765 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407990351
Faison Heathman Smith Iv, LCDC, ADCIII's National Provider Identifier is 1407990351, issued on Feb 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mcallen, TX. The record was last updated on Oct 4, 2010.