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Altraveise Melvina Smith, MS

Counselor, Addiction (Substance Use Disorder) in Pompano Beach, FL. Individual provider (NPI-1).

NPI number1366930596
StatusActive
Last updated in NPPESApr 24, 2018

Details

NPI
1366930596
Entity type
Individual (NPI-1)
Name
Miss Altraveise Melvina Smith
Credential
MS
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 24, 2018
Last updated
Apr 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

380 Sw 12th Ave
Pompano Beach, FL 33069-3502

Phone 954-782-9774 · Fax 954-782-3843

Mailing address

380 Sw 12th Ave
Pompano Beach, FL 33069-3502

Phone 954-782-9774 · Fax 954-782-3843

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