MEDICARE: A BRIEF COUNSELING CENTER

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
1	101YM0800X	Mental Health Counselor	602525637	WA

General Provider Information

NPI Number	:	1851438030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BRIEF COUNSELING CENTER

Provider Business Mailing Address
First Line	:	9507 N DIVISION ST
Second Line	:	SUITE A
City	:	SPOKANE
State	:	WA
Zip	:	99218-1248
Country	:	US
Telephone Number	:	509-466-6632
Fax Number	:	509-466-0117

Provider Business Practice Location Address
First Line	:	9507 N DIVISION ST
Second Line	:	SUITE A
City	:	SPOKANE
State	:	WA
Zip	:	99218-1248
Country	:	US
Telephone Number	:	509-466-6632
Fax Number	:	509-466-0117

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAY WM. SMITH
Credential	:	LMHC
Telephone Number	:	509-466-6632

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	06/13/2008

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1730548876 — MR. KURT M LEONARD MSW, LICSWA, MHP
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