IndividualActive
Ethan Smith
NPI 1982339610 · Addiction (Substance Use Disorder) Counselor · Homer, AK
Provider details
- NPI number
- 1982339610
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
51310 Timber Bay Ct
Homer, AK 99603-9812
Phone: (907) 235-3250
Fax: (907) 235-3251
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 876741
Wasilla, AK 99687-6741
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.