Individual
AMBER DANIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 W LOCKEFORD ST STE 5, LODI, CA 95240-2053
(209) 329-6217
Mailing address
1030 S HUTCHINS ST STE 4-188, LODI, CA 95240-5254
(209) 329-6217
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
139545
CA
Other
Enumeration date
06/22/2017
Last updated
01/24/2024
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