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1578850400
CHRISTA SANTOS-SMITH
POCATELLO, ID
NPI
1578850400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-860)
Enumeration Date
2011-06-29
Last Update Date
2011-06-29
Business Address
CHRISTA SANTOS-SMITH LPC
845 W CENTER ST SUITE C
POCATELLO, ID 83204-4205
Phone number: 208-478-4642
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Mailing Address
CHRISTA SANTOS-SMITH LPC
1012 HOMERUN ST
CHUBBUCK, ID 83202-1616
Phone number: 208-232-9430
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