Individual provider · Type 1 NPI

Gregory Vincent Smith, REGISTERED STUDENT

Addiction (Substance Use Disorder) Counselor · Colton, CA

NPI number 1437492956 Active

Practice location

2275 E Cooley Dr
Colton, CA 92324-6324

Mailing address

2275 East Cooley Drive
Colton, CA 92324

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRS6952 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1437492956

Gregory Vincent Smith, REGISTERED STUDENT's National Provider Identifier is 1437492956, issued on Apr 3, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Colton, CA. The record was last updated on Apr 3, 2013.