E. Smith, LCSW, LPC

NPI 1871929026 · on the registry since 2013 · sole proprietor

Practice

Address: 111 E 16th St
Idaho Falls, ID 83401
Phone: (208) 523-1130
Fax: (208) 529-6501
Organisation at this address: Innovative Health Care Concepts, Inc
Innovative Health Care Concepts, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho