person
Kurt Bradford Smith, CADCII,CRM,QMHA
Addiction (Substance Use Disorder) Counselor in Coos Bay, Oregon
NPI 1356841076

Kurt Bradford Smith is an Addiction (Substance Use Disorder) Counselor based in North Bend, OR and is specialized in Addiction (Substance Use Disorder). Kurt Bradford Smith practices in Coos Bay, OR and has the professional credentials of CADCII,CRM,QMHA. The NPI Number for Kurt Bradford Smith is 1356841076 and holds a License No. 19-QMHA-I-00673 (Oregon).

The current practice location address for Kurt Bradford Smith is 155 S Empire Blvd, Coos Bay, OR and can be reached out via phone at 541-435-1152 and via fax at 541-756-2111. You can also correspond with Kurt Bradford Smith through the mailing address at 1942 SHERIDAN AVE, NORTH BEND, OR - 97459-3416 (mailing address contact number: 541-435-1152).

Location: 155 S Empire Blvd, Coos Bay, OR, 97459-3416
person
Provider Profile Details
NPI Number
1356841076
Provider Name
Kurt Bradford Smith
Credential
CADCII,CRM,QMHA
Provider Entity Type
Individual
Gender
Male
Address
155 S Empire Blvd, Coos Bay, OR, 97459-3416
Phone Number
541-435-1152
Fax Number
541-756-2111
Provider Enumeration Date
02/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
155 S Empire Blvd
City
State
Zip
97420-3374
Phone Number
541-435-1152
Fax Number
541-756-2111
person
Provider Business Mailing Address Details
Address
155 S Empire Blvd
City
State
Zip
97420-3374
Phone Number
541-435-1152
Fax Number
541-756-2111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18-09-40 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
16-CRM-084 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
19-QMHA-I-00673 (Oregon)
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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