Individual
MS. CHARLETT ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
23264 SW MAIN ST, SHERWOOD, OR 97140-6309
(503) 636-4176
(503) 625-2863
Mailing address
21550 SW OLD KRUGER RD, SHERWOOD, OR 97140-8642
(503) 636-4176
(503) 625-2863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1430
OR
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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