Tara L Smyth

NPI #1043190846 in Centralia, Washington

Provider Information

NPI Number: 1043190846
Entity Type: Individual
Name: Tara L Smyth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 3, 2025
Last Updated: Sep 3, 2025

Practice Location

Address: 2428 W REYNOLDS AVE
City: Centralia
State: Washington
ZIP Code: 98531-4554
Phone: (360) 330-9044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Peer Specialist	175T00000X	Primary

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