Individual
JAMES PHILIP SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
56881 ENTERPRISE DR., SUNRIVER, OR 97707
(541) 593-1011
(541) 593-0316
Mailing address
PO BOX 4185, SUNRIVER, OR 97707-1185
(541) 593-1011
(541) 593-0316
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CO426
OR
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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