Individual
ALEXA RAE SMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2315 BAR BIT RD, SPRING VALLEY, CA 91978-1901
(619) 337-3850
Mailing address
PO BOX 374, LA MESA, CA 91944-0374
(619) 988-4553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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