Healthcare Provider Details

I. General information

NPI: 1366330383
Provider Name (Legal Business Name): APRIL MICHELLE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: APRIL MICHELLE CRUZ

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W F ST STE 101
ONTARIO CA
91762-3201
US

IV. Provider business mailing address

125 W F ST STE 101
ONTARIO CA
91762-3201
US

V. Phone/Fax

Practice location:
  • Phone: 909-563-7076
  • Fax: 909-986-4506
Mailing address:
  • Phone: 909-563-7076
  • Fax: 909-986-4506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: