Individual
JILL CLAUDINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
88 W COMMERCE DR, SUITE C, HAYDEN, ID 83835-7994
(208) 762-4405
Mailing address
88 W COMMERCE DR, SUITE C, HAYDEN, ID 83835-7994
(208) 762-4405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5193
ID
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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