KELLY JANE SMITH

OCEANSIDE, CA
NPI1366072449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci37300123)
Enumeration Date2020-01-17
Last Update Date2023-10-31
Business Address
KELLY JANE SMITH RADT
3230 WARING CT STE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7938
Mailing Address
KELLY JANE SMITH RADT
3230 WARING CT STE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7938