Individual
MISS CHARLOTTE MARIE SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-6696
(360) 748-0627
Mailing address
368 NE WASHINGTON AVE APT 2, CHEHALIS, WA 98532-2615
(360) 748-3034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00045198
WA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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