Individual
CHARLES STUART SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT R1543910124
Contact information
Practice address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 487-3600
Mailing address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 487-3600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1543910124
CA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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