MR. Bo Robert Smith

NPI #1104623784 in Blackfoot, Idaho

Provider Information

NPI Number
1104623784
Entity Type
Individual
Name
MR. Bo Robert Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Feb 28, 2025
Last Updated
Feb 28, 2025

Practice Location

Address
1309 CAMAS ST
State
Idaho
ZIP Code
83221-3060
Phone
(208) 782-0675

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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