Individual
MRS. APRIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C. CADCII
Contact information
Practice address
100 39TH ST STE 203, ASTORIA, OR 97103-2455
(503) 593-2432
Mailing address
2911 MARINE DR STE B, ASTORIA, OR 97103-2836
(503) 593-2432
(509) 663-0441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-R-01
OR
101YP2500X
Professional Counselor
Primary
C5255
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1126911
DSHS
WA
05
—
1538120811
—
OR
01
—
2680SH
ASURIS NORTHWEST HEALTH
WA
01
—
8931295
WA STATE CRIME VICTIMS
WA
Enumeration date
03/28/2006
Last updated
04/30/2019
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