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Jaclyn J Smith
Addiction (Substance Use Disorder) Counselor in Tumwater, Washington
NPI 1053075242

Jaclyn J Smith is an Addiction (Substance Use Disorder) Counselor based in Raymond, WA and is specialized in Addiction (Substance Use Disorder). Jaclyn J Smith practices in Tumwater, WA. The NPI Number for Jaclyn J Smith is 1053075242 and holds a License No. CO61227019 (Washington).

The current practice location address for Jaclyn J Smith is 6005 Tyee Dr Sw, Tumwater, WA and can be reached out via phone at 360-464-6867.

Location: 6005 Tyee Dr Sw, Tumwater, WA, 98577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053075242
Provider Name
Jaclyn J Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
6005 Tyee Dr Sw, Tumwater, WA, 98577
Phone Number
360-464-6867
Fax Number
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6005 Tyee Dr Sw
City
Tumwater
State
Washington
Zip
98512-7356
Phone Number
360-464-6867
Fax Number
person
Provider Business Mailing Address Details
Address
6005 Tyee Dr Sw
City
Tumwater
State
Washington
Zip
98512-7356
Phone Number
360-464-6867
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CO61227019 (Washington)
Definition
Definition to come...
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