Individual
BRIAN D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, M.ED
Contact information
Practice address
20161 45TH AVE NE, LAKE FOREST PARK, WA 98155-1709
(206) 940-7196
Mailing address
20161 45TH AVE NE, LAKE FOREST PARK, WA 98155-1709
(206) 940-7196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004711
WA
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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