Individual provider · Type 1 NPI

Antoinette Kathleen Smith, AAC, CDPT

Addiction (Substance Use Disorder) Counselor · Centralia, WA

NPI number 1639656275 Active

Practice location

1616 S Gold St Ste 4
Centralia, WA 98531-8930

Call (360) 807-4929 Map

Fax (360) 807-4160

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XCG60783142 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60802177 (WA)

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

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About NPI 1639656275

Antoinette Kathleen Smith, AAC, CDPT's National Provider Identifier is 1639656275, issued on Jul 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Centralia, WA. The record was last updated on Jul 26, 2018.