Individual
DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
700 RAYMOND AVE, SAINT PAUL, MN 55114-4503
(612) 895-1510
Mailing address
876 W 7TH ST APT 305, SAINT PAUL, MN 55102-3703
(763) 228-7944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306776
MN
Other
Enumeration date
01/04/2023
Last updated
04/30/2024
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