Individual
MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 1ST ST, SAN RAFAEL, CA 94901-3739
(925) 723-3390
Mailing address
680 JUNCTION AVE APT 204, LIVERMORE, CA 94551-4390
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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