Individual provider · Type 1 NPI

Teaja Smith

Mental Health Counselor · Rancho Cucamonga, CA

NPI number 1588048664 Active

Practice location

9500 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5871

Mailing address

3611 S Harbor Blvd Ste 100
Santa Ana, CA 92704-7915

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1588048664

Teaja Smith's National Provider Identifier is 1588048664, issued on Jul 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 17, 2015.