Individual
MR. FREDRICK QUENTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1856 RENADA CIR, NORTH LAS VEGAS, NV 89030-5059
(832) 893-4470
Mailing address
1856 RENADA CIR, NORTH LAS VEGAS, NV 89030-5059
(832) 893-4470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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