Jacquline Smythe
Jacquline Smythe is a Case Management Agency in Lakeport, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
55 1st St # 302Lakeport, CA 95453-4839
Phone: (707) 349-2586
Fax: (707) 263-4662
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence MFT43231 (CA) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1023319241 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacquline Smythe — Mft · (707) 349-2586 |
| NPI enumerated | November 4, 2010 |
| Last updated in NPPES | November 4, 2010 |
| Mailing address | 3542 Crestwood Dr, Kelseyville, CA 95451-8602 |
Other providers in Lakeport
-
Redwood Community Services, Inc
320 1st St, Lakeport, CA 95453-4706 · (707) 263-0372