Individual
CHARMAINE C SMITH-WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, BS, MS
Contact information
Practice address
4750 N FIVE MILE RD, BOISE, ID 83713-2715
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-6490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60813052
WA
101YM0800X
Mental Health Counselor
LH61497402
WA
101YP2500X
Professional Counselor
Primary
8971947
—
Other
Enumeration date
11/15/2018
Last updated
05/30/2025
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