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Individual
DARCELMARIE SMITH
Active
Individual
DARCELMARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CADC,MISA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29680
IL
101YM0800X
Mental Health Counselor
Primary
30643
IL
175T00000X
Peer Specialist
34964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29680
CADC
IL
01
—
30643
MISA
IL
Enumeration date
11/27/2013
Last updated
06/15/2021
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