Individual
MS. BREANNE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP60896258
Contact information
Practice address
PO BOX 217, SELAH, WA 98942-0217
(509) 457-0990
Mailing address
927 N 4TH AVE, YAKIMA, WA 98902-1409
(509) 895-1584
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60896258
WA
Other
Enumeration date
03/29/2017
Last updated
06/04/2024
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