| Doctor Name: | TENEA MARIE SMITH |
| NPI Number: | 1043468978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC-L 01329, LADC-S |
| License Number: | 01329-L |
| Business Practice Address: | 720 S Main St Yerington, NV - 894474217 |
| Business Phone Number: | 7755774633 |
| Business Fax Number: | 7755779937 |
| Mailing Address: | 720 S Main St, YERINGTON |
| State: | NV |
| Postal Code: | 894474217 |
| Phone Number: | 7755774633 |
| Fax Number: | 7755779937 |
| NPI Enumeration Date: | 09/04/2008 |
| NPI Last Update Date: | 06/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 01329-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |