Organization
JACQULINE SMYTHE
Active
Organization
JACQULINE SMYTHE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQULINE GAIL SMYTHE (MFT)
(707) 349-2586
Entity
Organization
Contact information
Practice address
55 1ST ST # 302, LAKEPORT, CA 95453-4839
(707) 349-2586
(707) 263-4662
Mailing address
3542 CRESTWOOD DR, KELSEYVILLE, CA 95451-8602
(707) 349-2586
(707) 263-4662
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
MFT43231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT 43231
BLUE CROSS
—
Enumeration date
11/04/2010
Last updated
11/04/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up