HEAVEN MARIE SMITH

TWIN FALLS, ID
NPI1407698616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  11701)
Enumeration Date2024-06-10
Last Update Date2024-06-10
Business Address
HEAVEN MARIE SMITH BS, SUDA
219 GOODING ST N
TWIN FALLS, ID 83301-6178
Phone number: 208-293-8846
Mailing Address
HEAVEN MARIE SMITH BS, SUDA
PO BOX 684
CASTLEFORD, ID 83321-0684
Phone number: 208-569-8926