Individual
MR. DAVID G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2345 50TH MANAGED CARE CENTER, LUBBOCK, TX 79412
(806) 780-8300
(806) 780-8383
Mailing address
2345 50TH MANAGED CARE CENTER, LUBBOCK, TX 79412
(806) 780-8300
(806) 780-8383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065363601
—
TX
Enumeration date
09/08/2009
Last updated
09/08/2009
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