Individual
MR. DOUGLAS EDWARD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
5431 E MAYFLOWER LN, SUITE 5, WASILLA, AK 99654-7891
(907) 357-6860
(907) 357-6865
Mailing address
PO BOX 876742, WASILLA, AK 99687-6742
(907) 952-8773
(907) 357-6865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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