Individual
CRYSTAL ANN CHEROMIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
858 COMMERCE DRIVE STE. 100, SMELTERVILLE, ID 83868
(208) 784-1221
(208) 783-1342
Mailing address
25 JACOBS GULCH RD, KELLOGG, ID 83837-2023
(208) 784-1221
(208) 784-2441
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-44387
ID
Other
Enumeration date
06/14/2021
Last updated
02/26/2025
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