Individual
MS. JODI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 IRONWOOD PL, COEUR D ALENE, ID 83814-2670
(208) 769-4222
(208) 667-7557
Mailing address
2673 W BOLIVAR AVE, COEUR D ALENE, ID 83815-9761
(208) 659-1705
(208) 667-7557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4450
ID
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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