Individual
MRS. JENNIFER L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1275 E OAKBROOK CT, MERIDIAN, ID 83642-4905
(208) 230-2579
Mailing address
1275 E OAKBROOK CT, MERIDIAN, ID 83642-4905
(208) 230-2579
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5275
ID
Other
Enumeration date
07/30/2013
Last updated
03/28/2024
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