person
Dallas Marie Smith
Peer Specialist in Vancouver, Washington
NPI 1710572904

Dallas Marie Smith is a Peer Specialist based in Vancouver, WA. Dallas Marie Smith practices in Vancouver, WA. The NPI Number for Dallas Marie Smith is 1710572904 and holds a License No. CG61130502 (Washington).

The current practice location address for Dallas Marie Smith is 2924 Falk Rd, Vancouver, WA and can be reached out via phone at 360-690-3069 and via fax at 360-726-5961.

Location: 2924 Falk Rd, Vancouver, WA, 98686-5761
person
Provider Profile Details
NPI Number
1710572904
Provider Name
Dallas Marie Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
2924 Falk Rd, Vancouver, WA, 98686-5761
Phone Number
360-690-3069
Fax Number
360-726-5961
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2924 Falk Rd
City
State
Zip
98661-5604
Phone Number
360-690-3069
Fax Number
360-726-5961
person
Provider Business Mailing Address Details
Address
2924 Falk Rd
City
State
Zip
98661-5604
Phone Number
360-690-3069
Fax Number
360-726-5961
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CG61130502 (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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