Individual
JESSICA DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-II, MPSS-HMQKLC
Contact information
Practice address
1820 JST, SACRAMENTO, CA 95811-3010
(916) 737-5555
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 469-4690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A054140319
CA
175T00000X
Peer Specialist
Primary
MPSS-HMQKLC
CA
Other
Enumeration date
08/17/2016
Last updated
02/09/2026
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