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Individual

KURT VINCENT SMALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1720 LAKEPOINT DRIVE SUITE 117, LEWISVILLE, TX 95057
(805) 904-3881
(650) 324-4149
Mailing address
1720 LAKEPOINT DRIVE SUITE 117, LEWISVILLE, TX 95057
(805) 904-3881
(805) 963-8849

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12850
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA
363L00000X
Nurse Practitioner
Primary
12850
CA

Other

Enumeration date
02/16/2011
Last updated
02/18/2026
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