GREGORY VINCENT SMITH

COLTON, CA
NPI1437492956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RS6952)
Enumeration Date2013-04-03
Last Update Date2013-04-03
Business Address
Mr. GREGORY VINCENT SMITH Registered Student
2275 E COOLEY DR
COLTON, CA 92324-6324
Phone number: 909-370-1777
Mailing Address
Mr. GREGORY VINCENT SMITH Registered Student
2275 EAST COOLEY DRIVE
COLTON, CA 92324
Phone number: 909-370-1777
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