Provider Information for 1467884627
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. JENNIFER L SMITH LCPC
Sex: Female
NPI: 1467884627
Last Updated: 2024-03-28
Certification Date: 2024-03-28
Certification Date: 2024-03-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1467884627 | ||||||||
| Enumeration Date | 2013-07-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1275 E OAKBROOK CT MERIDIAN, ID 83642-4905 United States Phone: 208-230-2579 | Fax: | ||||||||
| Primary Practice Address | 1275 E OAKBROOK CT MERIDIAN, ID 83642-4905 United States Phone: 208-230-2579 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|