Individual provider · Type 1 NPI
John Smith
Addiction (Substance Use Disorder) Counselor · Mesa, AZ
NPI number
1861924722
Active
Practice location
245 N Centennial Way
Mesa, AZ 85201-6702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-10251 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1861924722
John Smith's National Provider Identifier is 1861924722, issued on Mar 30, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Mar 30, 2017.