JACESON ALEXANDER SMITH

SACRAMENTO, CA
NPI1003136540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-06-07
Last Update Date2010-06-07
Business Address
Mr. JACESON ALEXANDER SMITH RRW
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
Mailing Address
Mr. JACESON ALEXANDER SMITH RRW
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552