MR. DOUGLAS EDWARD SMITH BS NPI 1124321989

NPI Information

NPI: 1124321989
Provider Name: MR. DOUGLAS EDWARD SMITH, BS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5431 E MAYFLOWER LN
SUITE 5
WASILLA, AK
ZIP 99654
Phone: (907) 357-6860
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MR. Douglas Edward Smith, BS is an addiction (substance use disorder) counselor in Wasilla, AK. MR. Douglas Edward Smith, BS NPI is 1124321989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5431 E MAYFLOWER LN
SUITE 5
WASILLA, AK
ZIP 99654-891
Phone: (907) 357-6860
Fax: (907) 357-6865

The enumeration date for this NPI number is 12/16/2010 and was last updated on 12/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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