Nicole Leeann Smith Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Coloma, CA
- NPI
- 1336496801
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- CAS R 10652 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-08-14
- Last updated
- 2012-08-14
Practice location
838 Beach Ct.
Coloma, CA 95613-0437
(530) 626-7252