JACKIE SMITH

BRENTWOOD, CA
NPI1154543866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-03
Last Update Date2008-02-05
Business Address
-- JACKIE SMITH
9100 BRENTWOOD BLVD
BRENTWOOD, CA 94513-4000
Phone number: 925-809-7920
Mailing Address
-- JACKIE SMITH
9100 BRENTWOOD BLVD
BRENTWOOD, CA 94513-4000
Phone number: 925-809-7920
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