Individual
MRS. AMBER MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
802 N 8TH ST, VANDALIA, IL 62471-1756
(618) 293-1731
Mailing address
4545 E 1000TH AVE, ALTAMONT, IL 62411-3414
(618) 483-5749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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