| NPI | 1710054028 |
|---|---|
| Professional Name | KENNETH R. SMITH, M.DIV., M.A. |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LF00001684) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |