# MARY SMITH COUNSELING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kind Mind Therapy Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669294732
- **Authorized official:** MARY EDSON SMITH LCSW (THERAPIST)
- **Authorized official phone:** (971) 716-4822

## Contact information

- **Practice address:** 4605 NE FREMONT ST, PORTLAND, OR 97213-1707
- **Practice address phone:** (971) 716-4822
- **Mailing address:** 1224 NE 53RD AVE, PORTLAND, OR 97213-2858
- **Mailing address phone:** (971) 716-4822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 10/29/2024