| Mrs Jamie Dee Smith, LPC | |
|
427 12th St, Plummer, ID 83851-4000 | |
| (208) 686-1931 | |
| Not Available |
| Full Name | Mrs Jamie Dee Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 427 12th St, Plummer, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013237189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Idaho) | Primary |
| Entity Name | Benewah Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336135136 PECOS PAC ID: 6709878622 Enrollment ID: O20040331001566 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jamie Dee Smith, LPC Po Box 388, Plummer, ID 83851-0388 Ph: (208) 686-1931 | Mrs Jamie Dee Smith, LPC 427 12th St, Plummer, ID 83851-4000 Ph: (208) 686-1931 |
Mr. Joshua Michael Severns, LCSW, ACADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 N 12th Street, Plummer, ID 83851 Phone: 208-686-1449 | |
Michelle Kay Moore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 | |
Mrs. Dawn E Crouse, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 531 Camarillo Ln, Plummer, ID 83851 Phone: 208-987-0652 | |
Tonya Marie Amour-patton, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 | |
Tucker Lloyd Larsen, PA-C Counselor Medicare: Accepting Medicare Assignments Practice Location: 427 N 12th St., Plummer, ID 83851 Phone: 208-686-1931 | |
Lovinia Alexander, CDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 B Street, Plummer, ID 83851 Phone: 208-686-1449 Fax: 208-686-5813 |