# ALYCIA SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679939920
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | CG60615744 | WA | — |
| 1041C0700X | Clinical Social Worker | L7466 | OR | Yes |
| 1041C0700X | Clinical Social Worker | LW60824262 | WA | — |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 11/29/2022