| K David Smith Coaching Llc | |
|
524 Nw Woodson Dr Grants Pass OR 97526-1174 | |
| (541) 291-1377 | |
| (541) 205-9431 |
| Full Name | K David Smith Coaching Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 524 Nw Woodson Dr, Grants Pass, Oregon |
| Authorized Official Name and Position | Kenneth David Smith (OWNER/THERAPIST) |
| Authorized Official Contact | 5412911377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K David Smith Coaching Llc 524 Nw Woodson Dr Grants Pass OR 97526-1174 Ph: (541) 291-1377 | K David Smith Coaching Llc 524 Nw Woodson Dr Grants Pass OR 97526-1174 Ph: (541) 291-1377 |
| NPI Number | 1386523785 |
|---|---|
| Provider Enumeration Date | 08/29/2025 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386523785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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