Individual
LAUREN NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 SALEM DALLAS HWY NW, SALEM, OR 97304-3338
(503) 991-5091
Mailing address
2340 RED OAK DR S, SALEM, OR 97302-9418
(925) 784-1362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
04/27/2026
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