Individual
CHRISTINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5494 PONY EXPRESS TRL, CAMINO, CA 95709-9403
(530) 644-3758
Mailing address
2844 COLOMA ST, PLACERVILLE, CA 95667-4406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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