Ryan Mark Smith, M.S.

NPI #1851679633 in Ammon, Idaho

Provider Information

NPI Number: 1851679633
Entity Type: Individual
Name: Ryan Mark Smith, M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: M.S.
Enumeration Date: Jul 28, 2011
Last Updated: Mar 3, 2021

Practice Location

Address: 2705 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6601
Phone: (208) 346-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Case Manager/Care Coordinator	171M00000X	Primary

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