Individual provider · Type 1 NPI
Michael Wayne Smith- Fernandez, LCSW
Mental Health Counselor · Winston, OR
NPI number
1154788065
Active
Practice location
11 SW Brantley Dr
Winston, OR 97496-4526
Fax (541) 679-4821
Other practice locations
- 3099 NE Diamond Lake Blvd, Roseburg, OR 97470-3655 · (541) 673-3469
- 3099 NE Diamond Lake Blvd, Roseburg, OR 97470-3655 · (541) 673-3469
- 1652 NW Hughwood Ct, Roseburg, OR 97471-8844 · (541) 673-3985
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | L10476 (OR) |
Mental Health Counselor: Definition to come...
6 other providers at this address
- Functional Mental Health LLCPsychiatric/Mental Health Nurse Practitioner Winston, OR NPI 1154944536
- Stacy J Nielsen, Lcsw, LLCCommunity/Behavioral Health Agency Winston, OR NPI 1861843310
- Lisa Marie Jennings, MSW, QMHP, CSWA, CADCAddiction (Substance Use Disorder) Counselor Winston, OR NPI 1881052876
- Nick Marshall, PCAMental Health Counselor Winston, OR NPI 1972494870
- Pazely Rachelle Spencer, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Winston, OR NPI 1235939133
- Rhea Ann Bandelier, CNPPsychiatric/Mental Health Nurse Practitioner Winston, OR NPI 1528627874
Other mental health counselor providers in Winston
About NPI 1154788065
Michael Wayne Smith- Fernandez, LCSW's National Provider Identifier is 1154788065, issued on Jan 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston, OR. The record was last updated on Jan 25, 2021.