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Takesha S Smith
Peer Specialist in Centralia, Washington
NPI 1609654334

Takesha S Smith is a Peer Specialist based in Centralia, WA. Takesha S Smith practices in Centralia, WA. The NPI Number for Takesha S Smith is 1609654334 and holds a License No. CG61486780 (Washington).

The current practice location address for Takesha S Smith is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-330-9044 and via fax at 360-736-3139.

Location: 2428 W Reynolds Ave, Centralia, WA, 98531-4554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609654334
Provider Name
Takesha S Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
2428 W Reynolds Ave, Centralia, WA, 98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
Provider Enumeration Date
09/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG61486780 (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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