Individual
JIM SMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 N WILLIAM ST, POST FALLS, ID 83854-5123
(208) 755-0660
(208) 777-7691
Mailing address
820 N WILLIAM ST, POST FALLS, ID 83854-5123
(208) 755-0660
(208) 777-7691
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
46949
ID
Other
Enumeration date
10/10/2019
Last updated
10/22/2021
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