Diane Smith

NPI #1003329905 in Meridian, Idaho

Provider Information

NPI Number: 1003329905
Entity Type: Individual
Name: Diane Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 14, 2017
Last Updated: May 1, 2024

Practice Location

Address: 2131 S BONITO WAY
City: Meridian
State: Idaho
ZIP Code: 83642-1659
Phone: (208) 202-4732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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