Individual
TIFFANY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 CUSTER WAY SE, STE D, TUMWATER, WA 98501-3350
(360) 570-8258
(360) 570-1171
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000238
WA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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