Jaceson Alexander Smith, RRW
Counselor, Addiction (Substance Use Disorder) in Sacramento, CA. Individual provider (NPI-1).
NPI number1003136540
StatusActive
Last updated in NPPESJun 7, 2010
Details
- NPI
- 1003136540
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jaceson Alexander Smith
- Credential
- RRW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2010
- Last updated
- Jun 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
4343 Williamsbourgh DrSacramento, CA 95823-2006
Phone 916-395-3552 · Fax 916-473-5766
Mailing address
4343 Williamsbourgh DrSacramento, CA 95823-2006
Phone 916-395-3552 · Fax 916-473-5766
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