Individual
LISA SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
30 W MAIN ST STE 304, WALLA WALLA, WA 99362-2872
(509) 525-8844
(509) 525-7755
Mailing address
30 W MAIN ST STE 304, WALLA WALLA, WA 99362-2872
(509) 525-8844
(509) 525-7755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001986
WA
1041C0700X
Clinical Social Worker
LW00004569
WA
Other
Enumeration date
09/13/2006
Last updated
09/11/2025
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