Individual provider · Type 1 NPI

Douglas Smith

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1740736958 Active

Practice location

1 Serenity Lane
Coburg, OR 97408

Mailing address

PO Box 8549
Coburg, OR 97408-1313

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15-02-22 (OR)

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

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About NPI 1740736958

Douglas Smith's National Provider Identifier is 1740736958, issued on Aug 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Aug 28, 2016.