Individual
KESHIRA DE JONAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC 18691
Contact information
Practice address
6098 N CARICA AVE, FRESNO, CA 93722-3329
(559) 360-5632
Mailing address
6098 N CARICA AVE, FRESNO, CA 93722-3329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1474780722
CA
101YM0800X
Mental Health Counselor
18691
CA
101YP2500X
Professional Counselor
Primary
18691
CA
101YP2500X
Professional Counselor
Primary
R1474780722
CA
Other
Enumeration date
02/07/2023
Last updated
02/26/2026
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