| Doctor Name: | BRETT M SMITHWICK |
| NPI Number: | 1902943913 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0080141 |
| Business Practice Address: | Hwy 169 Mile Post 29 Magdalena, NM - 87825 |
| Business Phone Number: | 5058542626 |
| Business Fax Number: | 5058542616 |
| Mailing Address: | Hwy 69, Mile Post 29 Alamo, MAGDALENA |
| State: | NM |
| Postal Code: | 87825 |
| Phone Number: | 5058542626 |
| Fax Number: | 5058542616 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0080141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |