Individual
BREANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 INTERNATIONAL CT, SPRINGFIELD, OR 97477-1086
(541) 858-8170
(541) 858-8167
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
09/15/2021
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