Smith, Andrew

Smith, Andrew is an individual health care provider with primary practice located at 3648 El Portal Dr , Redding CA 96002-3133. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Smith, Andrew can be contacted via phone (530) 722-1114.

Contact Information

Primary practice address
3648 El Portal Dr Redding CA 96002-3133
Phone: (530) 722-1114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1063773612
LBN Legal business name Smith, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Apr 29th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063773612 NPPES
Alaska MEDICAID MH3237

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