Individual provider · Type 1 NPI

Jodi Smith

Professional Counselor · Coeur D Alene, ID

NPI number 1053755967 Active

Practice location

2201 Ironwood Pl
Coeur D Alene, ID 83814-2670

Call (208) 769-4222 Map

Fax (208) 667-7557

Mailing address

2673 W Bolivar Ave
Coeur D Alene, ID 83815-9761

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-4450 (ID)

Professional Counselor: Definition to come...

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About NPI 1053755967

Jodi Smith's National Provider Identifier is 1053755967, issued on Apr 22, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coeur D Alene, ID. The record was last updated on Apr 22, 2013.