Individual provider · Type 1 NPI

Carol Alice Smith

Addiction (Substance Use Disorder) Counselor · Racine, WI

NPI number 1720453988 Active

Practice location

1717 Taylor Ave
Racine, WI 53403-2405

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16026-131 (WI)

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

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About NPI 1720453988

Carol Alice Smith's National Provider Identifier is 1720453988, issued on Dec 14, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Racine, WI. The record was last updated on Dec 14, 2015.