Individual
BRYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
914 MISSION AVE, 3RD FLOOR, SAN RAFAEL, CA 94901-6106
(415) 457-6964
Mailing address
1839 48TH AVE, SAN FRANCISCO, CA 94122-3921
(510) 938-1535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/18/2007
Last updated
03/10/2010
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