Individual
JACLYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2034 DE LA VINA ST, SANTA BARBARA, CA 93105-3814
(805) 886-1999
Mailing address
PO BOX 80425, GOLETA, CA 93118-0425
(805) 886-1999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
06/18/2025
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