MR. RYAN MICHAEL SMITH C.A.T.C
NPI 1265955942
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA
Active since July 25, 2017
About Mr. Ryan Michael Smith C.a.t.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RYAN MICHAEL SMITH C.A.T.C (NPI 1265955942) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (178536) and active in the NPI registry since July 2017.
NPPES Registry Identity
NPI1265955942
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RYAN MICHAEL SMITHCredential: C.A.T.C
Location Address1003 S BEACON STSan Pedro, CA 90731-4324
Mailing Address1003 S Beacon StSan Pedro, CA 90731 · (310) 514-4940
Phone(310) 514-4940
Fax(310) 514-4940
Sole ProprietorNo
Enumeration DateJuly 25, 2017
✔ NPI 1265955942 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 178536
1003 S BEACON ST, San Pedro, CA 90731
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265955942, enumerated as an "individual" on July 25, 2017.
The provider is located at 1003 S BEACON ST SAN PEDRO, CA 90731 and the phone number is (310) 514-4940.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).