Provider Demographics
NPI:1689976862
Name:SMETANA, DEANN KAY (LMHC, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:DEANN
Middle Name:KAY
Last Name:SMETANA
Suffix:
Gender:F
Credentials:LMHC, LPC, NCC
Other - Prefix:DR
Other - First Name:DEANN
Other - Middle Name:KAY
Other - Last Name:SMETANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC, LPC, NCC
Mailing Address - Street 1:18608 SE 11TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-7214
Mailing Address - Country:US
Mailing Address - Phone:360-931-8895
Mailing Address - Fax:
Practice Address - Street 1:18608 SE 11TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-7214
Practice Address - Country:US
Practice Address - Phone:360-931-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60136267101YM0800X
NCC 287462101YP2500X
ORC2794101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional