Individual
TINA M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2502 TACOMA AVE S, TACOMA, WA 98402-1310
(253) 759-0852
Mailing address
2320 W 2ND ST, ABERDEEN, WA 98520-4506
(360) 533-3222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006295
WA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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