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Organization

MIND MATTERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES SMIDT (OWNER)
(855) 621-8250
Entity
Organization

Contact information

Practice address
1875 N LAKEWOOD DR STE 101, COEUR D ALENE, ID 83814-4928
(208) 719-9110
Mailing address
1875 N LAKEWOOD DR STE 101, COEUR D ALENE, ID 83814-4928
(208) 719-9110

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
07/01/2020
Last updated
10/22/2021
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