Individual
RACHELLE SMOTHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10563 N CAMP CT, HAYDEN, ID 83835-8246
(208) 640-3118
Mailing address
10563 N CAMP CT, HAYDEN, ID 83835-8246
(208) 640-3118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5120
ID
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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