Individual provider · Type 1 NPI

Heaven Marie Smith, BS, SUDA

Addiction (Substance Use Disorder) Counselor · Twin Falls, ID

NPI number 1407698616 Active

Practice location

219 Gooding St N
Twin Falls, ID 83301-6178

Mailing address

PO Box 684
Castleford, ID 83321-0684

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11701 (ID)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407698616

Heaven Marie Smith, BS, SUDA's National Provider Identifier is 1407698616, issued on Jun 10, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Twin Falls, ID. The record was last updated on Jun 10, 2024.