Provider Demographics
NPI:1881491033
Name:SMELSER, ANDREW ALAN
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:ALAN
Last Name:SMELSER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 VEDA ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-3245
Mailing Address - Country:US
Mailing Address - Phone:530-244-6800
Mailing Address - Fax:
Practice Address - Street 1:3075 VEDA ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-3245
Practice Address - Country:US
Practice Address - Phone:530-244-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20757101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)