Individual
JEFFREY RUSTY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3185 BOUTWELL RD, LAKE WORTH BEACH, FL 33461-2610
(561) 621-2517
Mailing address
656 NE 1ST ST APT 106, DELRAY BEACH, FL 33483-5490
(708) 701-0352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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