Tara L Smyth
Peer Specialist in Centralia, WA. Individual provider (NPI-1).
NPI number1043190846
StatusActive
Last updated in NPPESSep 3, 2025
Details
- NPI
- 1043190846
- Entity type
- Individual (NPI-1)
- Name
- Tara L Smyth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2025
- Certification date
- Sep 3, 2025
- Last updated
- Sep 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | CG70040495 | WA | Yes |
| 101Y00000X | Counselor | CG70040495 | WA |
Practice location
2428 W Reynolds AveCentralia, WA 98531-4554
Phone 360-330-9044 · Fax 360-736-0689
Mailing address
2428 W Reynolds AveCentralia, WA 98531-4554
Phone 360-330-9044 · Fax 360-736-0689
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All 64 Peer Specialist providers in Centralia · All 1,230 providers in Centralia
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