Individual
KURT BRADFORD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II, CRM, QMHA
Contact information
Practice address
155 S EMPIRE BLVD, COOS BAY, OR 97420-3374
(541) 435-1152
(541) 756-2111
Mailing address
1942 SHERIDAN AVE, NORTH BEND, OR 97459-3416
(541) 435-1152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-09-40
OR
101YM0800X
Mental Health Counselor
19-QMHA-I-00673
OR
175T00000X
Peer Specialist
16-CRM-084
OR
Other
Enumeration date
02/19/2018
Last updated
09/12/2025
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