Individual
BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 W BALBOA BLVD, NEWPORT BEACH, CA 92661-1037
(949) 675-3764
Mailing address
1115 W BALBOA BLVD, NEWPORT BEACH, CA 92661-1037
(949) 675-3764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A064500624
CA
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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