Individual provider · Type 1 NPI

Kristie Ann Smith

Mental Health Counselor · Fullerton, CA

NPI number 1912561911 Active

Practice location

801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846

Call (714) 680-9000 Map

Fax (714) 680-8233

Mailing address

PO Box 919
Fullerton, CA 92836-0919

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Mental Health Counselor Primary 101YM0800X90002 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1912561911

Kristie Ann Smith's National Provider Identifier is 1912561911, issued on Apr 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fullerton, CA. The record was last updated on Jul 11, 2019.