Organization
DIA MICHELLE, LLC
Active
Other names
Soul Therapist
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MICHELLE SMITH LPC (OWNER)
(208) 740-3372
Entity
Organization
Contact information
Practice address
410 S ORCHARD ST STE 128, BOISE, ID 83705-1288
(208) 740-3372
Mailing address
1608 S DENVER AVE APT 3, BOISE, ID 83706-3533
(415) 200-6567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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