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Mr. Michael Wayne Smith- Fernandez, LCSW
Mental Health Counselor in Winston, Oregon
NPI 1154788065

Michael Wayne Smith- Fernandez is a Mental Health Counselor based in Winston, OR and is specialized in Mental Health. Michael Wayne Smith- Fernandez practices in Winston, OR and has the professional credentials of LCSW. The NPI Number for Michael Wayne Smith- Fernandez is 1154788065 and holds a License No. L10476 (Oregon).

The current practice location address for Michael Wayne Smith- Fernandez is 11 Sw Brantley Dr, Winston, OR and can be reached out via phone at 541-679-0366 and via fax at 541-679-4821.

Location: 11 Sw Brantley Dr, Winston, OR, 97496-4526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154788065
Provider Name
Michael Wayne Smith- Fernandez
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
11 Sw Brantley Dr, Winston, OR, 97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
Provider Enumeration Date
01/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Sw Brantley Dr
City
Winston
State
Oregon
Zip
97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
person
Provider Business Mailing Address Details
Address
11 Sw Brantley Dr
City
Winston
State
Oregon
Zip
97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
L10476 (Oregon)
Definition
Definition to come...
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