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Individual

DAVID ANTHONY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRC

Contact information

Practice address
10928 EAGLE RIVER RD STE 104, EAGLE RIVER, AK 99577-8079
(907) 921-1193
Mailing address
PO BOX 772673, EAGLE RIVER, AK 99577-2673
(907) 921-1183

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
225C00000X
Rehabilitation Counselor
745765

Other

Enumeration date
11/14/2025
Last updated
11/14/2025
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