Individual
THERESA MARIE SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
317 N EL CAMINO REAL STE 508, ENCINITAS, CA 92024-2811
(760) 458-1600
Mailing address
317 N EL CAMINO REAL STE 508, ENCINITAS, CA 92024-2811
(760) 458-1600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10361
CA
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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