Provider Demographics
NPI:1780867309
Name:SMITH, GABRIELE M (LMHC, NCC, MA)
Entity Type:Individual
Prefix:
First Name:GABRIELE
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMHC, NCC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:203 SE PARK PLAZA DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-5886
Mailing Address - Country:US
Mailing Address - Phone:360-718-8544
Mailing Address - Fax:360-314-6330
Practice Address - Street 1:203 SE PARK PLAZA DR
Practice Address - Street 2:SUITE 105
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5886
Practice Address - Country:US
Practice Address - Phone:360-718-8544
Practice Address - Fax:360-314-6330
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health