Individual
CHRISTA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60178889
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC60178889
DEPARTMENT OF HEALTH
WA
Enumeration date
10/08/2010
Last updated
10/08/2010
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