Individual provider · Type 1 NPI

Ebony Michelle Smith

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1790204980 Active

Practice location

6851 Plymouth Rd Apt 24
Stockton, CA 95207-2321

Call (209) 210-7079 Map

Mailing address

1111 N El Dorado St
Stockton, CA 95202-1305

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 1790204980

Ebony Michelle Smith's National Provider Identifier is 1790204980, issued on Sep 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Sep 19, 2017.