Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Le' Roy Smith Jr., CDPT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366919847

Mr. Le' Roy Smith Jr., CDPT is a Student in an Organized Health Care Education/Training Program in Poulsbo, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

19351 8th Ave NE Ste 141
Poulsbo, WA 98370-7087
Phone: (360) 881-7881
Fax: (360) 598-4114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CO60821074 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366919847
Entity typeIndividual (Type 1)
GenderMale
Credentials CDPT
Sole proprietorNo
NPI enumeratedNovember 1, 2018
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020

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