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Isaac Matthew Humphers Smith
Counselor in Los Altos, California
NPI 1275913295

Isaac Matthew Humphers Smith is a Counselor based in Los Altos, CA. Isaac Matthew Humphers Smith practices in Los Altos, CA. The NPI Number for Isaac Matthew Humphers Smith is 1275913295 and holds a License No. (California).

The current practice location address for Isaac Matthew Humphers Smith is 955 Golden Way, Los Altos, CA and can be reached out via phone at 650-796-6345.

Location: 955 Golden Way, Los Altos, CA, 94024-5068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275913295
Provider Name
Isaac Matthew Humphers Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
955 Golden Way, Los Altos, CA, 94024-5068
Phone Number
650-796-6345
Fax Number
Provider Enumeration Date
06/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44AV 01 CA MEDI-CAL PRV NBR
institution
Provider Business Practice Location Address Details
Address
955 Golden Way
City
Los Altos
State
California
Zip
94024-5068
Phone Number
650-796-6345
Fax Number
person
Provider Business Mailing Address Details
Address
955 Golden Way
City
Los Altos
State
California
Zip
94024-5068
Phone Number
650-796-6345
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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