Individual
MRS. CRYSTAL MARIE SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-I, LMSW
Contact information
Practice address
611 CLINIC RD, CHALLIS, ID 83226-4824
(208) 879-4351
(208) 879-5216
Mailing address
611 CLINIC RD, CHALLIS, ID 83226-4824
(208) 879-4351
(208) 879-5216
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6971952
ID
104100000X
Social Worker
Primary
9260-M
NV
104100000X
Social Worker
IC-1940
NV
Other
Enumeration date
04/11/2022
Last updated
08/13/2026
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