Individual
KEISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 W PINE ST, #22, UNION GAP, WA 98903-1971
(509) 901-4662
Mailing address
408 W PINE ST, #22, UNION GAP, WA 98903-1971
(509) 901-4662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
01/28/2009
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