Individual
BRADLEY SMITH
Active
Individual
BRADLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SWI.LW.61644597
WA
1041C0700X
Clinical Social Worker
Primary
SWI.LW.61644597
WA
Other
Enumeration date
08/13/2019
Last updated
10/31/2025
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