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Jackie Smith Licsw
Neurorehabilitation Occupational Therapist in Gig Harbor, Washington
NPI 1639743263

Jackie Smith Licsw is a Neurorehabilitation Occupational Therapist based in Tacoma, WA and is specialized in Neurorehabilitation. Jackie Smith Licsw practices in Gig Harbor, WA. The NPI Number for Jackie Smith Licsw is 1639743263 and holds a License No. (Washington).

The current practice location address for Jackie Smith Licsw is 7191 Wagner Way Ste 304, Gig Harbor, WA and can be reached out via phone at 253-468-7899 and via fax at 253-220-2585.

Location: 7191 Wagner Way Ste 304, Gig Harbor, WA, 98466-2910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639743263
Provider Name
Jackie Smith Licsw
Credential
Provider Entity Type
Organization
Address
7191 Wagner Way Ste 304, Gig Harbor, WA, 98466-2910
Phone Number
253-468-7899
Fax Number
253-220-2585
Provider Enumeration Date
05/18/2021
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
7191 Wagner Way Ste 304
City
Gig Harbor
State
Washington
Zip
98335-6909
Phone Number
253-468-7899
Fax Number
253-220-2585
person
Provider Business Mailing Address Details
Address
7191 Wagner Way Ste 304
City
Gig Harbor
State
Washington
Zip
98335-6909
Phone Number
253-468-7899
Fax Number
253-220-2585
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
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Neurorehabilitation
Taxonomy
225XN1300X
License No.
()
Definition
Definition to come...
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