person
Tasha Larae Smith
Addiction (Substance Use Disorder) Counselor in San Marcos, California
NPI 1902414063

Tasha Larae Smith is an Addiction (Substance Use Disorder) Counselor based in San Marcos, CA and is specialized in Addiction (Substance Use Disorder). Tasha Larae Smith practices in San Marcos, CA. The NPI Number for Tasha Larae Smith is 1902414063 and holds a License No. R1379920320 (California).

The current practice location address for Tasha Larae Smith is 1560 Capalina Rd, San Marcos, CA and can be reached out via phone at 760-744-2104.

Location: 1560 Capalina Rd, San Marcos, CA, 92069-1288
person
Provider Profile Details
NPI Number
1902414063
Provider Name
Tasha Larae Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1560 Capalina Rd, San Marcos, CA, 92069-1288
Phone Number
760-744-2104
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28291884 01 TX DL
institution
Provider Business Practice Location Address Details
Address
1560 Capalina Rd
City
State
Zip
92069-1288
Phone Number
760-744-2104
Fax Number
person
Provider Business Mailing Address Details
Address
1560 Capalina Rd
City
State
Zip
92069-1288
Phone Number
760-744-2104
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1379920320 (California)
Definition
Definition to come...
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