Individual
STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO 60955710
Contact information
Practice address
4060 WHEATON WAY STE F, BREMERTON, WA 98310-3500
(360) 881-7886
Mailing address
4060 WHEATON WAY STE F, BREMERTON, WA 98310-3500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60955710
WA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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