Phillip Smith is a Counselor based in Spokane, WA. Phillip Smith practices in Spokane, WA. The NPI Number for Phillip Smith is 1992943385 and holds a License No. 60022726 (Washington).
The current practice location address for Phillip Smith is 1203 Idaho Street, Spokane, WA and can be reached out via phone at 509-444-8888.
Location: 1203 Idaho Street, Spokane, WA, 99202-4932
Provider Profile Details
NPI Number
1992943385
Provider Name
Phillip Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
1203 Idaho Street, Spokane, WA, 99202-4932
Phone Number
509-444-8888
Fax Number
Provider Enumeration Date
01/23/2009
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60022726 | 01 | WA | STATE LICENSE |
Provider Business Practice Location Address Details
Address
1203 Idaho Street
City
State
Zip
99202
Phone Number
509-444-8888
Fax Number
Provider Business Mailing Address Details
Address
1203 Idaho Street
City
State
Zip
99202
Phone Number
509-444-8888
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
6366 (Idaho)
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.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
60022726 (Washington)
Definition
Definition to come...
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