Individual
JEREMY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3574
Mailing address
162 TOWNVIEW DR, WOODSTOCK, GA 30189-7223
(404) 989-0524
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61593228
WA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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