MR. KENNETH RAY SMITH JR. M.DIV. M.A. NPI 1710054028

NPI Information

NPI: 1710054028
Provider Name: MR. KENNETH RAY SMITH, JR., M.DIV., M.A.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2012 NE 65TH ST
SEATTLE, WA
ZIP 98115
Phone: (206) 523-3202
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MR. Kenneth Ray Smith, Jr., M.DIV., M.A. is a mental health counselor in Seattle, WA. MR. Kenneth Ray Smith, Jr., M.DIV., M.A. NPI is 1710054028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2012 NE 65TH ST
SEATTLE, WA
ZIP 98115-934
Phone: (206) 523-3202
Fax: (206) 367-0919

The enumeration date for this NPI number is 11/29/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LF00001684	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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