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Individual
MS. DELORES SMITH
Active
Individual
MS. DELORES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAADE CATCI #6963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6963
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6963I
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6963I
CAADE
CA
Enumeration date
08/28/2017
Last updated
07/21/2022
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