Individual provider · Type 1 NPI

Lois Eileen Smith, CDP

Addiction (Substance Use Disorder) Counselor · Connell, WA

NPI number 1104392935 Active

Practice location

Coyote Ridge Correction Center, 1301 North Ephrata Ave.
Connell, WA 99326

Mailing address

13242 Road 24 SW
Mattawa, WA 99349-7205

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60080431 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104392935

Lois Eileen Smith, CDP's National Provider Identifier is 1104392935, issued on Oct 19, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Connell, WA. The record was last updated on Oct 19, 2018.