Individual
MS. CHARLENE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2816 NW 37TH AVE, CAMAS, WA 98607-8203
(949) 572-0598
Mailing address
2816 NW 37TH AVE, CAMAS, WA 98607-8203
(949) 572-0598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-2106
OR
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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