Lois Eileen Smith, CDP

NPI #1104392935 in Connell, Washington

Provider Information

NPI Number: 1104392935
Entity Type: Individual
Name: Lois Eileen Smith, CDP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CDP
Enumeration Date: Oct 19, 2018
Last Updated: Oct 19, 2018

Practice Location

Address: COYOTE RIDGE CORRECTION CENTER
Address 2: 1301 NORTH EPHRATA AVE.
City: Connell
State: Washington
ZIP Code: 99326
Phone: (509) 543-5921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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