Individual
MS. CAROLE LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
891 MOUNTAIN RANCH RD, SUBSTANCE ABUSE PROGRAMS, SAN ANDREAS, CA 95249-9713
(209) 754-6555
(209) 754-6559
Mailing address
891 MOUNTAIN RANCH RD, SUBSTANCE ABUSE PROGRAMS, SAN ANDREAS, CA 95249-9713
(209) 754-6555
(209) 754-6559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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