KIMBERLEY L SMITH DALY, BC-DMT, CADC-R, LPC CLACKAMAS, OR

Contact Information

KIMBERLEY L SMITH DALY, BC-DMT, CADC-R, LPC

10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970

Phone: 503-571-9240
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Dance Therapist	225600000X

Indicates primary specialty

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NPI Profile & details for KIMBERLEY L SMITH DALY · (Female)

NPI #	`1134407299`
Status	Active
Credentials	BC-DMT, CADC-R, LPC
Entity	Individual
Enumeration date	07/22/2011
Last updated	03/29/2024 - About 2 years ago
Sole proprietor ¹	No
Identifiers	NY License # 001409 OR License # BC-DMT-1131 OR License # C5011 OR Other C5011 OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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KIMBERLEY L SMITH DALY, BC-DMT, CADC-R, LPC – NPI #1134407299Professional

Contact Information

Specialty

Professional

Dance Therapist

NPI Profile & details for KIMBERLEY L SMITH DALY · (Female)

Reviews for KIMBERLEY L SMITH DALY

KIMBERLEY L SMITH DALY, BC-DMT, CADC-R, LPC – NPI #1134407299
Professional