Individual
MELISSA MYERS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
156 MCCLURE AVE, NAMPA, ID 83651-2025
(208) 467-7654
(208) 345-3502
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 495-1011
(208) 495-1012
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1538673769
ID
Other
Enumeration date
11/27/2017
Last updated
12/11/2023
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