Nicole Leeann Smith, | |
838 Beach Ct., Coloma, CA 95613-0437 | |
(530) 626-7252 | |
Not Available |
Full Name | Nicole Leeann Smith |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 838 Beach Ct., Coloma, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336496801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CAS R 10652 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicole Leeann Smith, Po Box 143, Diamond Springs, CA 95619-0143 Ph: (530) 903-0648 | Nicole Leeann Smith, 838 Beach Ct., Coloma, CA 95613-0437 Ph: (530) 626-7252 |
Panfilo Ibarra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 838 Beach Ct, Coloma, CA 95667 Phone: 530-626-7252 | |
Judy Lorraine Johnson-forseth, RADT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 838 Beach Ct, Coloma, CA 95667 Phone: 530-626-7383 |