Healthcare Provider Details

I. General information

NPI: 1225721798
Provider Name (Legal Business Name): DION SMOTHERMAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13450 SAINT ANDREWS DR APT 73H
SEAL BEACH CA
90740-4178
US

IV. Provider business mailing address

13450 SAINT ANDREWS DR APT 73H
SEAL BEACH CA
90740-4178
US

V. Phone/Fax

Practice location:
  • Phone: 562-673-5408
  • Fax:
Mailing address:
  • Phone: 562-673-5408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number30509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: