Individual
KELLY SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ICADC,SAP
Contact information
Practice address
219 GOODING ST N, TWIN FALLS, ID 83301-6178
(208) 293-8846
(208) 595-2542
Mailing address
219 GOODING ST N, TWIN FALLS, ID 83301-6178
(208) 293-8846
(208) 595-2542
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-6156
ID
101YM0800X
Mental Health Counselor
Primary
LPC-6156
ID
101YP2500X
Professional Counselor
LPC-6156
ID
Other
Enumeration date
03/16/2017
Last updated
03/02/2026
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