person
Christa Santos-smith, LPC
Mental Health Counselor in Pocatello, Idaho
NPI 1578850400

Christa Santos-smith is a Mental Health Counselor based in Chubbuck, ID and is specialized in Mental Health. Christa Santos-smith practices in Pocatello, ID and has the professional credentials of LPC. The NPI Number for Christa Santos-smith is 1578850400 and holds a License No. LPC-860 (Idaho).

The current practice location address for Christa Santos-smith is 845 W Center St, Pocatello, ID and can be reached out via phone at 208-478-4642 and via fax at 208-232-8001.

Location: 845 W Center St, Pocatello, ID, 83202-1616
person
Provider Profile Details
NPI Number
1578850400
Provider Name
Christa Santos-smith
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
845 W Center St, Pocatello, ID, 83202-1616
Phone Number
208-478-4642
Fax Number
208-232-8001
Provider Enumeration Date
06/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC-960 01 ID BUREAU OF OCCUPATIONAL LICENSES
institution
Provider Business Practice Location Address Details
Address
845 W Center St
City
State
Zip
83204-4205
Phone Number
208-478-4642
Fax Number
208-232-8001
person
Provider Business Mailing Address Details
Address
845 W Center St
City
State
Zip
83204-4205
Phone Number
208-478-4642
Fax Number
208-232-8001
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-860 (Idaho)
Definition
Definition to come...
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