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Mrs. Kimberly Denise Smith, CPC
Peer Specialist in Longview, Washington
NPI 1184140881

Kimberly Denise Smith is a Peer Specialist based in Longview, WA. Kimberly Denise Smith practices in Longview, WA and has the professional credentials of CPC. The NPI Number for Kimberly Denise Smith is 1184140881 and holds a License No. 60756167 (Washington).

The current practice location address for Kimberly Denise Smith is 720 14Th Ave Fl 2, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-423-7086.

Location: 720 14Th Ave Fl 2, Longview, WA, 98632-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184140881
Provider Name
Kimberly Denise Smith
Credential
CPC
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Ave Fl 2, Longview, WA, 98632-2315
Phone Number
360-423-0203
Fax Number
360-423-7086
Provider Enumeration Date
08/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 14Th Ave Fl 2
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-423-7086
person
Provider Business Mailing Address Details
Address
720 14Th Ave Fl 2
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-423-7086
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
60756167 (Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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