Individual provider · Type 1 NPI

Teddy Diane Smith, RADT1

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1861906968 Active

Practice location

5870 Arlington Ave
Riverside, CA 92504-2037

Call (951) 683-6596 Map

Mailing address

34966 Avenue D
Yucaipa, CA 92399-4420

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 1861906968

Teddy Diane Smith, RADT1's National Provider Identifier is 1861906968, issued on Nov 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Nov 28, 2017.