Individual
ANTOINETTE ROCHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 ALABAMA ST, VALLEJO, CA 94590-4446
(707) 515-7186
Mailing address
508 ALABAMA ST, VALLEJO, CA 94590-4446
(707) 515-7186
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
05/08/2025
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