Individual
DR. BRIAN H SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW PHD LICSW
Contact information
Practice address
2800 E MADISON ST STE 204, SEATTLE, WA 98112-4865
(206) 356-2655
Mailing address
2800 E MADISON ST STE 204, SEATTLE, WA 98112-4865
(206) 356-2655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60893837
WA
101YM0800X
Mental Health Counselor
60893837
WA
101YM0800X
Mental Health Counselor
Primary
LW60893837
WA
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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