Ryan Mark Smith, MS | |
2705 E 17th St, Ammon, ID 83406-6601 | |
(208) 346-7500 | |
Not Available |
Full Name | Ryan Mark Smith |
---|---|
Gender | Male |
Speciality | Case Manager/care Coordinator |
Location | 2705 E 17th St, Ammon, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851679633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-6566 (Idaho) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ryan Mark Smith, MS 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 346-7500 | Ryan Mark Smith, MS 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 346-7500 |
News Archive
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