Individual
ETHAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
535 ELM PL STE 7, PRINCETON, IL 61356-1458
(815) 872-2943
(815) 915-8756
Mailing address
535 ELM PL STE 7, PRINCETON, IL 61356-1458
(815) 872-2943
(815) 915-8756
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178016281
IL
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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