Doctor Name: | MRS. JENNIFER L SMITH |
NPI Number: | 1467884627 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 5275 |
Business Practice Address: | 1865 N Lakes Pl Meridian, ID - 836461921 |
Business Phone Number: | 2088552295 |
Business Fax Number: | 2088552414 |
Mailing Address: | 1865 N Lakes Pl, MERIDIAN |
State: | ID |
Postal Code: | 836461921 |
Phone Number: | 2088552295 |
Fax Number: | 2088552414 |
NPI Enumeration Date: | 07/30/2013 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5275 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |