Individual provider · Type 1 NPI

Walter John Smith, LADC 1

Addiction (Substance Use Disorder) Counselor · Roxbury, MA

NPI number 1972736338 Active

Practice location

435 Warren St
Roxbury, MA 02119-1833

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1930 (MA)

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

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About NPI 1972736338

Walter John Smith, LADC 1's National Provider Identifier is 1972736338, issued on Sep 1, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roxbury, MA. The record was last updated on Sep 1, 2009.