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Ms. Angelia Brooke Smith Russell
Counselor in Long Beach, Washington
NPI 1891029724

Angelia Brooke Smith Russell is a Counselor based in Raymond, WA. Angelia Brooke Smith Russell practices in Long Beach, WA. The NPI Number for Angelia Brooke Smith Russell is 1891029724 and holds a License No. RC60051978 (Washington).

The current practice location address for Angelia Brooke Smith Russell is 2204 Pacific Ave N, Long Beach, WA and can be reached out via phone at 360-942-2303 and via fax at 360-942-5312.

Location: 2204 Pacific Ave N, Long Beach, WA, 98577-3016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891029724
Provider Name
Angelia Brooke Smith Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2204 Pacific Ave N, Long Beach, WA, 98577-3016
Phone Number
360-942-2303
Fax Number
360-942-5312
Provider Enumeration Date
09/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RC60051978 01 WA RC
institution
Provider Business Practice Location Address Details
Address
2204 Pacific Ave N
City
Long Beach
State
Washington
Zip
98631-3300
Phone Number
360-942-2303
Fax Number
360-942-5312
person
Provider Business Mailing Address Details
Address
2204 Pacific Ave N
City
Long Beach
State
Washington
Zip
98631-3300
Phone Number
360-942-2303
Fax Number
360-942-5312
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
RC60051978 (Washington)
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.
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