Individual
LINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW, ADC
Contact information
Practice address
709 DEARBORN ST, CALDWELL, ID 83605-4116
(208) 376-7083
(208) 402-5604
Mailing address
709 DEARBORN ST, CALDWELL, ID 83605-4116
(208) 376-7083
(208) 402-5604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11540033
ID
104100000X
Social Worker
LSW-28715
ID
Other
Enumeration date
09/26/2013
Last updated
07/02/2024
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