Smith, Antoinette Kathleen

Smith, Antoinette Kathleen is an individual health care provider with primary practice located at 1616 S Gold St Ste 4 , Centralia WA 98531-8930. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Smith, Antoinette Kathleen can be contacted via phone (360) 807-4929.

Contact Information

Primary practice address
1616 S Gold St Ste 4 Centralia WA 98531-8930
Phone: (360) 807-4929
Fax: (360) 807-4160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CG60783142 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO60802177 Washington

Profile Details

NPI number 1639656275
LBN Legal business name Smith, Antoinette Kathleen
Credentials AAC, CDPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Jul 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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