DEREK SMITH

SPRINGFIELD, OR
NPI1932851094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-22-1372)
Enumeration Date2022-01-20
Last Update Date2022-01-20
Business Address
DEREK SMITH CADC-R
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477-3363
Phone number: 541-762-4533
Mailing Address
DEREK SMITH CADC-R
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477-3363
Phone number: 541-762-4533
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