Individual
ABBY JOY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 PETERSON RD STE 200, BURLINGTON, WA 98233-2606
(360) 856-3054
Mailing address
614 PETERSON RD STE 200, BURLINGTON, WA 98233-2606
(360) 856-3054
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2019
Last updated
03/12/2020
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