Individual provider · Type 1 NPI
Dynisha Smith, LPC
Professional Counselor · Boise, ID
NPI number
1679172472
Active
Practice location
9277 W Shoup Ave
Boise, ID 83709-0557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-7877 (ID) |
Professional Counselor: Definition to come...
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About NPI 1679172472
Dynisha Smith, LPC's National Provider Identifier is 1679172472, issued on Oct 22, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Oct 22, 2020.