DOUGLAS EDWARD SMITH

WASILLA, AK
NPI1124321989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-12-16
Last Update Date2010-12-16
Business Address
Mr. DOUGLAS EDWARD SMITH BS
5431 E MAYFLOWER LN SUITE 5
WASILLA, AK 99654-7891
Phone number: 907-357-6860
Mailing Address
Mr. DOUGLAS EDWARD SMITH BS
PO BOX 876742
WASILLA, AK 99687-6742
Phone number: 907-952-8773