Eryn Beth Larsen Smith, MA, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Saint Paul, MN
NPI 1477834299 · NPPES record last updated Sep 7, 2011
Key facts
- NPI
- 1477834299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 303008 (MN)
- Practice address
- 1706 University Ave W
Saint Paul, MN 55104-3614 - Phone
- (651) 645-3661
- Fax
- (651) 645-0959
- NPI assigned
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303008 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303008 | MN | Yes |
Addresses
Primary practice location
1706 University Ave W
Saint Paul, MN 55104-3614
Mailing address
1706 University Ave W
Saint Paul, MN 55104-3614
Phone (651) 645-3661
Other providers in Saint Paul, MN
- Jennifer Larklan
- Roger R Laroche
- Lorraine Laroy
- Julian Andres Larrea Saavedra
- Larry Miller Chiropractic, Inc.
- Amy Larsen
- Elizabeth L Larsen
- Michaela Anne Larsen
- Anne Louise Larson-Saunders
- Amy F Larson
All providers in Saint Paul, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.