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Individual
KURT VINCENT SMALLEY
Active
Individual
KURT VINCENT SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12850
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
363L00000X
Nurse Practitioner
Primary
12850
CA
Other
Enumeration date
02/16/2011
Last updated
02/18/2026
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