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NPI Code Detail

MEDICARE: MRS. AMBER SMITH LMFT

MEDICARE:  MRS. AMBER  SMITH  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLF60617700WA

General Provider Information

NPI Number : 1780045245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMBER SMITH LMFT
Provider Business Mailing Address
First Line : 3965 BETHEL RD SE STE 1
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-1976
Country : US
Telephone Number : 360-919-5350
Fax Number : 360-464-4063
Provider Business Practice Location Address
First Line : 2497 BETHEL RD SE STE 201
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-2489
Country : US
Telephone Number : 360-919-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2016
Last Update Date : 03/14/2026

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Directions to “ MRS. AMBER SMITH LMFT” Practice Location

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