Individual
BRYANNA DEVINNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 W VISTA WAY, VISTA, CA 92083-5704
(760) 758-1650
Mailing address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
(760) 975-9939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
129183
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/21/2020
Last updated
03/24/2025
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