TEDDY DIANE SMITH

RIVERSIDE, CA
NPI1861906968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-11-28
Last Update Date2017-11-28
Business Address
TEDDY DIANE SMITH RADT1
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
Mailing Address
TEDDY DIANE SMITH RADT1
34966 AVENUE D
YUCAIPA, CA 92399-4420
Phone number: 909-744-2284