DIANE SMITH

MERIDIAN, ID
NPI1003329905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LCPC-8350)
Additional Taxonomies101Y00000X Counselor
(Licence: OR  C7279)
101Y00000X Counselor
Enumeration Date2017-11-14
Last Update Date2024-05-01
Business Address
DIANE SMITH
2131 S BONITO WAY
MERIDIAN, ID 83642-1659
Phone number: 208-202-4732
Mailing Address
DIANE SMITH
2131 S BONITO WAY
MERIDIAN, ID 83642-1659
Phone number: 208-202-4732