| Andy Smithson | |
|
2311 Park Ave Ste 3 Burley ID 83318-2104 | |
| (208) 312-3648 | |
| (855) 486-2316 |
| Full Name | Andy Smithson |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2311 Park Ave Ste 3, Burley, Idaho |
| Authorized Official Name and Position | Robert Andrew (andy) Smithson (OWNER/THERAPIST) |
| Authorized Official Contact | 2083123648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andy Smithson 608 S 125 Ln W Rupert ID 83350-9660 Ph: (208) 312-3648 | Andy Smithson 2311 Park Ave Ste 3 Burley ID 83318-2104 Ph: (208) 312-3648 |
| NPI Number | 1700395209 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700395209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LCSW-33818 (Idaho) | Primary |
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