Individual
MS. HOLLY E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
185 NORTH AVE, MANZANITA, OR 97130-9152
(503) 739-2784
Mailing address
PO BOX 267, MANZANITA, OR 97130-0267
(503) 739-2784
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0411
OR
Other
Enumeration date
02/20/2007
Last updated
10/16/2015
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