Individual
RICHARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 23RD AVE STE A, LONGMONT, CO 80501-1115
(303) 245-0123
Mailing address
950 GRANDVIEW MDWS DR, LONGMONT, CO 80503-7741
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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