Individual
LYNNE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
305 W 16TH ST, VANCOUVER, WA 98660-2791
(360) 213-1801
Mailing address
PO BOX 131, VANCOUVER, WA 98666-0131
(360) 213-1801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH 60160372
WA
106H00000X
Marriage & Family Therapist
Primary
LF 60156713
WA
Other
Enumeration date
07/13/2010
Last updated
11/12/2010
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