Jeremy Michael Smith
Jeremy Michael Smith is an Addiction (Substance Use Disorder) Counselor in Roseburg, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
621 W Madrone StRoseburg, OR 97470-3090
Phone: (541) 672-2691
Fax: (541) 673-5642
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1508481912 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 11, 2020 |
| Last updated in NPPES | June 11, 2020 |
| Certification date | June 11, 2020 |
| Mailing address | 621 W Madrone St, Roseburg, OR 97470-3090 |
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