Jackie Smith JR. is an Addiction (Substance Use Disorder) Counselor based in Brentwood, CA and is specialized in Addiction (Substance Use Disorder). Jackie Smith JR. practices in Brentwood, CA. The NPI Number for Jackie Smith JR. is 1154543866 and holds a License No. (California).
The current practice location address for Jackie Smith JR. is 9100 Brentwood Blvd, Brentwood, CA and can be reached out via phone at 925-809-7920 and via fax at 925-809-7928.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07557 | 01 | CA | DMC ADOL BRENTWOOD |
| 0726 | 01 | CA | DRUG M/CAL BILLING NUMBER |
| 56681 | 01 | CA | STAFF ID NUMBER |
| 07553 | 01 | CA | BRENTWOOD ADOL TX |
| 070726 | 01 | CA | MASTER PROVIDER NUMBER |
| 070753 | 01 | CA | MASTER PROVIDER FILE NUMB |
| 0753 | 01 | CA | DRUG MEDI-CAL BILLING NO |
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