KELLEY ANN SMITH

MEDFORD, OR
NPI1689165664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  17-07-25)
Enumeration Date2018-05-24
Last Update Date2020-10-17
Business Address
KELLEY ANN SMITH CADC I, CRM
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
Mailing Address
KELLEY ANN SMITH CADC I, CRM
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777