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JOHN M SMITH LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1710108311
Individual Registrant: JOHN M SMITH LCSW
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
7734 HERSCHEL AVE., SUITE E LA JOLLA, AR 92037 US
Tel: 858-459-6341 Fax: --
Tel: 858-459-6341 Fax: --
Contact information for business:
7734 HERSCHEL AVE., SUITE E LA JOLLA, AR 92037 US
Tel: 858-459-6341 Fax: --
Tel: 858-459-6341 Fax: --
Registration Information:
NPI: 1710108311
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | LCS14114 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
