person
Mr. David Michael Smith
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1861163701

David Michael Smith is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). David Michael Smith practices in Santa Rosa, CA. The NPI Number for David Michael Smith is 1861163701 and holds a License No. 941694676 (California).

The current practice location address for David Michael Smith is 2403 Professional Dr Ste 101, Santa Rosa, CA and can be reached out via phone at 707-544-3295 and via fax at 707-544-9011.

Location: 2403 Professional Dr Ste 101, Santa Rosa, CA, 95403-3007
person
Provider Profile Details
NPI Number
1861163701
Provider Name
David Michael Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
2403 Professional Dr Ste 101, Santa Rosa, CA, 95403-3007
Phone Number
707-544-3295
Fax Number
707-544-9011
Provider Enumeration Date
09/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
941694676 05 CA
institution
Provider Business Practice Location Address Details
Address
2403 Professional Dr Ste 101
City
State
Zip
95403-3007
Phone Number
707-544-3295
Fax Number
707-544-9011
person
Provider Business Mailing Address Details
Address
2403 Professional Dr Ste 101
City
State
Zip
95403-3007
Phone Number
707-544-3295
Fax Number
707-544-9011
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
941694676 (California)
Definition
Definition to come...
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