Doctor Name: | MISS JENNIFER MARIE SMITHSON |
NPI Number: | 1043365414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 17800 Us Highway 18 Apple Valley, CA - 923071221 |
Business Phone Number: | 7609553682 |
Business Fax Number: | 7602421425 |
Mailing Address: | 17800 Us Highway 18, APPLE VALLEY |
State: | CA |
Postal Code: | 923071221 |
Phone Number: | 7609553682 |
Fax Number: | 7602421425 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 09/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |