Individual
CASEY R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 S 7TH AVE, PASCO, WA 99301-5794
(509) 547-9000
Mailing address
PO BOX 1452, PASCO, WA 99301-1452
(509) 547-2204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CG60155231
WA
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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