Individual
JOSEPH SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3288 E PINE AVE, MERIDIAN, ID 83642-5922
(208) 871-5649
(208) 658-0153
Mailing address
3288 E PINE AVE, MERIDIAN, ID 83642-5922
(208) 871-5649
(208) 658-0153
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LAMFT - 4656
ID
106H00000X
Marriage & Family Therapist
Primary
LMFT-7127
ID
Other
Enumeration date
07/30/2012
Last updated
06/20/2022
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