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Individual

MS. KRISTIANN DANIELLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LFMT

Contact information

Practice address
1145 MOUNTAIN AIRE DR SE, LACEY, WA 98503-1903
(469) 777-8829
Mailing address
PO BOX 3641, LACEY, WA 98509-3641
(469) 777-8829

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60742055
WA
106H00000X
Marriage & Family Therapist
MFC40718
CA

Other

Enumeration date
08/14/2007
Last updated
11/01/2020
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