Individual provider · Type 1 NPI

Jeremy Michael Smith

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1508481912 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 672-2691 Map

Fax (541) 673-5642

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 1508481912

Jeremy Michael Smith's National Provider Identifier is 1508481912, issued on Jun 11, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Jun 11, 2020.