Individual
CHARLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12890 QUINTA WAY, DESERT HOT SPRINGS, CA 92240-4852
(760) 660-7849
Mailing address
66681 SAN DIEGO DR, DESERT HOT SPRINGS, CA 92240-2540
(760) 660-7849
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
02/09/2017
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