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1336806298
VERNON RUSSELL SMITH
LOS ANGELES, CA
NPI
1336806298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R8925)
Enumeration Date
2021-11-25
Last Update Date
2021-11-25
Business Address
VERNON RUSSELL SMITH
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-529-0963
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Mailing Address
VERNON RUSSELL SMITH
811 BEACON AVE
LOS ANGELES, CA 90017-2113
Phone number: 213-318-8542
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