Individual provider · Type 1 NPI
Kelley Ann Smith, CADC I, CRM
Addiction (Substance Use Disorder) Counselor · Medford, OR
NPI number
1689165664
Active
Practice location
300 W Main St
Medford, OR 97501-2756
Fax (541) 734-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 17-07-25 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1689165664
Kelley Ann Smith, CADC I, CRM's National Provider Identifier is 1689165664, issued on May 24, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Oct 17, 2020.