Smith, Stacey Renee

Smith, Stacey Renee is an individual health care provider with primary practice located at 2500 Bissell Ave , Richmond CA 94804-1815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Smith, Stacey Renee can be contacted via phone (510) 231-3958.

Contact Information

Primary practice address
2500 Bissell Ave Richmond CA 94804-1815
Phone: (510) 231-3958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194915173
LBN Legal business name Smith, Stacey Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 9th, 2008 - about 16 years ago

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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