Individual
KARISA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1820 S EAGLE RD, MERIDIAN, ID 83642-2447
(208) 203-3269
Mailing address
1295 S DAWCAMRY LN, KUNA, ID 83634-1759
(208) 204-1189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10146
ID
101YP2500X
Professional Counselor
Primary
LPC-10146
ID
Other
Enumeration date
01/24/2024
Last updated
07/29/2024
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