Justin Michael Smith
Counselor, Addiction (Substance Use Disorder) in Aurora, CO. Individual provider (NPI-1).
NPI number1144591306
StatusActive
Last updated in NPPESJul 21, 2023
Details
- NPI
- 1144591306
- Entity type
- Individual (NPI-1)
- Name
- Justin Michael Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2012
- Certification date
- Jul 21, 2023
- Last updated
- Jul 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 247200000X | Technician, Other | – | – | |
| 103K00000X | Behavior Analyst | – | – |
Practice location
1290 Chambers RdAurora, CO 80011-7117
Phone 970-396-4327
Mailing address
1290 Chambers RdAurora, CO 80011-7117
Phone 970-396-4327
Other practice locations
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