Individual
GRADY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
128 BLUEBERRY CT SW, PACIFIC, WA 98047-1354
(206) 291-5998
(253) 735-0466
Mailing address
128 BLUEBERRY CT SW, PACIFIC, WA 98047-1354
(206) 291-5998
(253) 735-0466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00006290
WA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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