Individual
REESE RILEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2934 N 22ND WAY, PHOENIX, AZ 85016-7801
(646) 389-1344
Mailing address
2934 N 22ND WAY, PHOENIX, AZ 85016-7801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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