Jodi Smith

NPI 1053755967 - Counselor - 101YP2500X

NPI Details
NPI 1053755967
Gender Female
Enumeration Date 04/22/2013
Last Updated 04/22/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
2201 IRONWOOD PL
COEUR D ALENE ID, 83814-2670, US
Phone (208) 769-4222
Fax (208) 667-7557
Business Location
2673 W BOLIVAR AVE
COEUR D ALENE ID, 83815-9761, US
Phone (208) 659-1705
Fax (208) 667-7557
Toxanomy
Taxonomy Code 101YP2500X
License State Idaho
License Number LPC-4450
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According to our database, Ms. Jodi Smith NPI is 1053755967, taxonomy code is 101YP2500X and license number is LPC-4450, license state is located at Idaho. Jodi Smith physically located at 2201 Ironwood Pl, Coeur D Alene ID, 83814-2670. NPI Number Jodi Smith has the Individual type.

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1053755967 NPI number is provided on an as is basis without warranty of any kind. 1053755967 is maintained by the National Plan & Provider Enumeration System. The contents of Jodi Smith are for informational purposes only.