Individual provider · Type 1 NPI

Kelly Smith, MSW

Mental Health Counselor · Portland, OR

NPI number 1972055051 Active

Practice location

847 NE 19th Ave, 100
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972055051

Kelly Smith, MSW's National Provider Identifier is 1972055051, issued on Oct 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 25, 2016.