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NPI Code Detail

MEDICARE: MR. CHRISTOPHER SCOTT SMITH CCAPP #C035440915

MEDICARE: MR. CHRISTOPHER SCOTT SMITH CCAPP #C035440915
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorC035440915CA

General Provider Information

NPI Number : 1629402532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER SCOTT SMITH CCAPP #C035440915
Provider Business Mailing Address
First Line : 7415 HENRIETTA DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95822-5142
Country : US
Telephone Number : 916-500-8122
Fax Number : 916-520-7398
Provider Business Practice Location Address
First Line : 7415 HENRIETTA DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95822-5142
Country : US
Telephone Number : 916-500-8155
Fax Number : 916-520-7398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2013
Last Update Date : 10/25/2018

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Directions to “ MR. CHRISTOPHER SCOTT SMITH CCAPP #C035440915” Practice Location

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