Individual
MADELINE R G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, QMHP, CADC-I
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22-02-10343
OR
101YP2500X
Professional Counselor
Primary
C6641
OR
Other
Enumeration date
09/26/2017
Last updated
12/20/2022
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