Individual
RON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 N 58TH ST, OMAHA, NE 68104-4820
(402) 556-6425
Mailing address
1502 N 58TH ST, OMAHA, NE 68104-4820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1336
NE
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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