Individual
DONNA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8931 161ST ST, JAMAICA, NY 11432-6102
(718) 206-0218
(718) 206-1091
Mailing address
8931 161ST ST, JAMAICA, NY 11432-6102
(718) 206-0218
(718) 206-1091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20141
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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