Individual
REBECCA JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
478-A SOUTH PASEO CERRO, GREEN VALLEY, AZ 85614
(800) 522-5382
Mailing address
478-A SOUTH PASEO CERRO, GREEN VALLEY, AZ 85614
(800) 522-5382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00006441
WA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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