| Doctor Name: | JAMES PHILIP SMITH |
| NPI Number: | 1093935322 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | CO426 |
| Business Practice Address: | 56881 Enterprise Dr. Sunriver, OR - 97707 |
| Business Phone Number: | 5415931011 |
| Business Fax Number: | 5415930316 |
| Mailing Address: | Po Box 4185, SUNRIVER |
| State: | OR |
| Postal Code: | 977071185 |
| Phone Number: | 5415931011 |
| Fax Number: | 5415930316 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CO426 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |