Individual
TAMMY SMIETANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 MIDWAY DR, BAKER CITY, OR 97814-1466
(541) 523-4049
Mailing address
3680 MIDWAY DR, BAKER CITY, OR 97814-1466
(541) 523-4049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15-02-21
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/02/2016
Last updated
06/17/2019
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