# MR. JAKE TYLER SMOLINSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639732233
- **Gender:** Man
- **Credential:** LAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | 37AC00400400 | NJ | Yes |

## Other

- **Enumeration date:** 04/18/2019
- **Last updated:** 04/19/2019