Individual
CHELSEY LARAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
690 S INDUSTRY WAY STE 45, MERIDIAN, ID 83642-7907
(208) 922-2207
Mailing address
690 S INDUSTRY WAY STE 45, MERIDIAN, ID 83642-7907
(208) 922-2207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10620
ID
Other
Enumeration date
03/03/2011
Last updated
06/06/2024
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