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Isais Wellington Smith
Mental Health Counselor in Covina, California
NPI 1124204961

Isais Wellington Smith is a Mental Health Counselor based in Covina, CA and is specialized in Mental Health. Isais Wellington Smith practices in Covina, CA. The NPI Number for Isais Wellington Smith is 1124204961 and holds a License No. (California).

The current practice location address for Isais Wellington Smith is 4740 N Grand Ave, Covina, CA and can be reached out via phone at 626-859-2089.

Location: 4740 N Grand Ave, Covina, CA, 91724-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124204961
Provider Name
Isais Wellington Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
4740 N Grand Ave, Covina, CA, 91724-2005
Phone Number
626-859-2089
Fax Number
Provider Enumeration Date
01/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4740 N Grand Ave
City
Covina
State
California
Zip
91724-2005
Phone Number
626-859-2089
Fax Number
person
Provider Business Mailing Address Details
Address
4740 N Grand Ave
City
Covina
State
California
Zip
91724-2005
Phone Number
626-859-2089
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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