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Individual

GABE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1913 MEADE ST, NORTH BEND, OR 97459-3432
(541) 756-4508
(541) 756-4550
Mailing address
751 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor

Other

Enumeration date
06/08/2015
Last updated
04/17/2017
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