Organization
A JOURNEY TO A NEW BEGINNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA S SMITH LCSW (OWNER)
(208) 241-7681
Entity
Organization
Contact information
Practice address
214 E CENTER ST STE 40, POCATELLO, ID 83201-6372
(208) 545-7966
(208) 241-6215
Mailing address
214 E CENTER ST STE 40, POCATELLO, ID 83201-6372
(208) 545-7966
(208) 241-6215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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