SearchOregonMental Health Counselor

Michael Smith- Fernandez, LCSW

NPI 1154788065 · on the registry since 2016

Practice

Address
11 Sw Brantley Dr
Winston, OR 97496
Phone
(541) 679-0366
Fax
(541) 679-4821
Organisation at this address
Stacy J Nielsen, Lcsw, Llc
Functional Mental Health Llc
Second Wind Mental Health Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 3099 Ne Diamond Lake Blvd, Roseburg, OR
  • 3099 Ne Diamond Lake Blvd, Roseburg, OR
  • 1652 Nw Hughwood Ct, Roseburg, OR

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon