NICHOLAS SMITH

BLOOMINGTON, CA
NPI1033683123
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-01-11
Last Update Date2019-01-11
Business Address
NICHOLAS SMITH
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
Mailing Address
NICHOLAS SMITH
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120