Smith, Therese M
Smith, Therese M is an sole proprietor health care provider with primary practice located at 4129 E Van Buren St , Phoenix AZ 85008-6939. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Therese M can be contacted via phone (602) 269-5331.Contact Information
Primary practice address
4129 E Van Buren St
Phoenix AZ 85008-6939
Phone: (602) 269-5331
Fax: (602) 269-5331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-10977 | Arizona |
Profile Details
| NPI number | 1093986895 |
|---|---|
| LBN Legal business name | Smith, Therese M |
| Credentials | MAED- LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Mar 19th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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