Individual
JARED SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, MS, CADC-I
Contact information
Practice address
3740 E IDAHO ST, ELKO, NV 89801-4611
(775) 738-8004
Mailing address
3740 E IDAHO ST, ELKO, NV 89801-4611
(775) 738-8004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07061-I
NV
Other
Enumeration date
05/21/2018
Last updated
03/08/2022
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