| Nicole Leeann Smith, | |
|
838 Beach Ct., Coloma, CA 95613-0437 | |
| (530) 626-7252 | |
| Not Available |
| Full Name | Nicole Leeann Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 838 Beach Ct., Coloma, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336496801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAS R 10652 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Leeann Smith, Po Box 143, Diamond Springs, CA 95619-0143 Ph: (530) 903-0648 | Nicole Leeann Smith, 838 Beach Ct., Coloma, CA 95613-0437 Ph: (530) 626-7252 |
Panfilo Ibarra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 838 Beach Ct, Coloma, CA 95667 Phone: 530-626-7252 | |
Judy Lorraine Johnson-forseth, RADT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 838 Beach Ct, Coloma, CA 95667 Phone: 530-626-7383 |