Individual
JUSTIN MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(970) 396-4327
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(970) 396-4327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
01/19/2012
Last updated
07/21/2023
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