| Susan Smith, | |
|
8491 N. Lake Blvd., Kings Beach, CA 96143 | |
| (530) 546-5641 | |
| Not Available |
| Full Name | Susan Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8491 N. Lake Blvd., Kings Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588115067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Smith, Po Box 2099, Kings Beach, CA 96143-2099 Ph: (530) 546-5641 | Susan Smith, 8491 N. Lake Blvd., Kings Beach, CA 96143 Ph: (530) 546-5641 |
Isaac M Landman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Commonwealth Dr Unit 113, Kings Beach, CA 96143 Phone: 617-955-6002 | |
Mr. Richard James Brown, CCDS, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 8491 North Lake Blvd, Kings Beach, CA 96143 Phone: 530-546-5641 |