Individual
DYNISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9277 W SHOUP AVE, BOISE, ID 83709-0557
(208) 724-5970
Mailing address
9277 W SHOUP AVE, BOISE, ID 83709-0557
(208) 724-5970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7877
ID
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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