Kandi Leanne Smith in Ridgecrest - Addiction (substance Use Disorder)

Kandi Leanne Smith - NPI 1710030549

Kandi Leanne Smith is a Addiction (substance Use Disorder) in Ridgecrest, California. Kandi Leanne Smith practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kandi Leanne Smith is 1710030549. The last update date is 2007-07-08.

Kandi Leanne Smith's current location address is 1400 N Norma St Ste 133, Ridgecrest, California. You can contact this provider via phone number 7604997406 and fax number 7604997479. The mailing address for Kandi Leanne Smith is 1400 N Norma St Ste 133, Ridgecrest, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kandi Leanne Smith
Address 1400 N Norma St Ste 133, Ridgecrest, California
Phone Number 7604997406
Fax Number 7604997479
Sole Proprietor N
Credentials CADC II

NPI Number Detail

NPI Number 1710030549
Provider Enumeration Date 2007-01-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1400 N Norma St Ste 133
City Ridgecrest
State California (CA)
Post Code 935552577
Phone Number 7604997406
Fax Number 7604997479

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No A8574606
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Kandi Leanne Smith

What is the unique 10-digit identifier code assigned to Kandi Leanne Smith by the Centers for Medicare & Medicaid Services?

The Kandi Leanne Smith has been issued the NPI (National Provider Identifier) 1710030549 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kandi Leanne Smith is physically located?

The Kandi Leanne Smith is physically situated at the following address: 1400 N Norma St Ste 133, Ridgecrest, CA, 935552577.

What is the Kandi Leanne Smith's specialty and taxonomy code?

The Kandi Leanne Smith's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Kandi Leanne Smith receive the assignment of its 1710030549 from the Centers for Medicare & Medicaid Services?

The Kandi Leanne Smith was issued its 1710030549 by the Centers for Medicare & Medicaid Services on 2007-01-18.

As of what date were the Kandi Leanne Smith's details last updated?

The information pertaining to the Kandi Leanne Smith, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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