Smith, Kim Annette
Smith, Kim Annette is an individual health care provider with primary practice located at 150 Ne Kenneth Ford Dr , Roseburg OR 97470-1042. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Smith, Kim Annette can be contacted via phone (541) 672-9596.Contact Information
Primary practice address
150 Ne Kenneth Ford Dr
Roseburg OR 97470-1042
Phone: (541) 672-9596
Fax: (541) 672-7146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C4337 | Oregon |
Profile Details
| NPI number | 1396132775 |
|---|---|
| LBN Legal business name | Smith, Kim Annette |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2015 |
| Last updated | Oct 9th, 2018 - about 8 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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