MICHAEL R. SMITH

SAN BERNARDINO, CA
NPI1790975076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-08-01
Last Update Date2007-08-01
Business Address
-- MICHAEL R. SMITH
1963 N E ST
SAN BERNARDINO, CA 92405-3919
Phone number: 909-881-6146
Mailing Address
-- MICHAEL R. SMITH
1963 N E ST
SAN BERNARDINO, CA 92405-3919
Phone number: 909-881-6146