Most Relevant Information
Provider Data
| NPI Number: | 1003831504 |
| Provider Name: | JEFFREY WILLIAM SMITH MFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 36687 |
Most Important Dates
| Enumeration Date: | 07/13/2006 |
| Last Updated: | 04/13/2009 |
Provider Practice Location
1304 N MELROSE DR
SUITE J
VISTA
CA
920832918
Practice Location Phone/Fax
| Phone: | 7602076617 |
| Fax: |
Provider Mailing Location
1304 N MELROSE DR
SUITE J
VISTA
CA
920832918
Provider Mailing Phone/Fax
| Phone: | 7602076617 |
| Fax: |