Individual
LINDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 HUGHES WAY, LONG BEACH, CA 90810-1870
(323) 489-5835
Mailing address
3125 E 7TH ST, LONG BEACH, CA 90804-4932
(562) 439-7755
(562) 438-6891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WA2000X
Administrator Registered Nurse
Primary
313832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190077AHN
—
CA
Enumeration date
01/09/2008
Last updated
09/18/2020
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