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Individual
PHILLIP SMITH
Active
Individual
PHILLIP SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6366
ID
101YM0800X
Mental Health Counselor
60022726
WA
101YM0800X
Mental Health Counselor
Primary
LCPC-9211
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60022726
STATE LICENSE
WA
Enumeration date
01/23/2009
Last updated
04/30/2025
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